Individual
LORI BINGAMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCP
Contact information
Practice address
1830 S ALMA SCHOOL RD, SUITE 108, MESA, AZ 85210-3056
(480) 248-3000
(480) 248-3050
Mailing address
1830 S ALMA SCHOOL RD, SUITE 108, MESA, AZ 85210-3056
(480) 248-3000
(480) 248-3050
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
1160122
PA
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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