Individual
LORI LYNN BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4545 CORDATA PKWY STE 1F1E, BELLINGHAM, WA 98226-7263
(360) 738-2200
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
(360) 729-1462
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60775651
WA
363LG0600X
Gerontology Nurse Practitioner
Primary
AP60775651
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
WA
Enumeration date
09/27/2017
Last updated
09/27/2017
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