Individual
MS. LORI GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1030 W WARNER AVE, SANTA ANA, CA 92707-3147
(714) 834-6915
Mailing address
9311 WINTERWOOD CIR, HUNTINGTON BEACH, CA 92646-5940
(714) 393-7691
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
499587
CA
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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