Doctor Name: | LORI DURAN |
NPI Number: | 1043463003 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W. |
License Number: | LCS14610 |
Business Practice Address: | 5555 Grossmont Center Dr La Mesa, CA - 919423019 |
Business Phone Number: | 6197404806 |
Business Fax Number: | |
Mailing Address: | 3962 Caminito Amparo, SAN DIEGO |
State: | CA |
Postal Code: | 921224354 |
Phone Number: | 8585979241 |
Fax Number: | |
NPI Enumeration Date: | 11/03/2008 |
NPI Last Update Date: | 11/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCS14610 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |