Individual
LACEY LORBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1601 E FOURTH PLAIN BLVD BLDG 17, VANCOUVER, WA 98661-3717
(360) 397-8246
(360) 397-8494
Mailing address
PO BOX 1845, VANCOUVER, WA 98668-1845
(360) 397-8484
(360) 397-8494
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO60712073
WA
164W00000X
Licensed Practical Nurse
Primary
LP61072608
WA
Other
Enumeration date
01/06/2017
Last updated
02/17/2021
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