Doctor Name: | MRS. PATRICIA LYNN LORD |
NPI Number: | 1194011544 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | COUNSELOR |
License Number: | 087935 |
Business Practice Address: | 2223 Via Puerta Unit A Laguna Woods, CA - 926378106 |
Business Phone Number: | 7145856171 |
Business Fax Number: | |
Mailing Address: | 2223 Via Puerta Unit A, LAGUNA WOODS |
State: | CA |
Postal Code: | 926378106 |
Phone Number: | 7145856171 |
Fax Number: | |
NPI Enumeration Date: | 06/23/2011 |
NPI Last Update Date: | 06/23/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 087935 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |