Individual
TIMOTHY J LORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
560 GAGE BLVD STE 102, KADLEC CLINIC SENIOR HEALTH CLINIC, RICHLAND, WA 99352
(509) 942-3135
(509) 627-1188
Mailing address
560 GAGE BLVD, STE 203, RICHLAND, WA 99352
(509) 942-3627
(509) 942-2268
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
201050071NP
OR
363LG0600X
Gerontology Nurse Practitioner
Primary
AP30004092
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201050071NP
OREGON LICENSE
OR
Enumeration date
06/01/2010
Last updated
11/23/2015
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