Individual
DR. LORI RENE WICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 825-7084
(909) 777-3226
Mailing address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 825-7084
(909) 777-3226
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/02/2006
Last updated
07/08/2007
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