Individual
SALLY ANN LORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2340 S 6TH ST, KLAMATH FALLS, OR 97601-4340
(541) 204-4933
(541) 851-2108
Mailing address
3265 HILLCREST PARK DR, MEDFORD, OR 97504-7657
(541) 494-9355
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
10035005
OR
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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