Individual
LORI JAN FUNKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHN
Contact information
Practice address
1725 W 17TH ST, SANTA ANA, CA 92706-2316
(714) 972-3747
Mailing address
1250 BRASS LANTERN DR, LA HABRA, CA 90631-6332
(714) 972-3747
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
P350959
CA
Other
Enumeration date
11/20/2007
Last updated
11/20/2007
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