Doctor Name: | MS. LORA ANN PACIAN |
NPI Number: | 1245384171 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 1023 Burlington Ave Western Springs, IL - 60558 |
Business Phone Number: | 7083540826 |
Business Fax Number: | 7083540867 |
Mailing Address: | 2011 72nd Ct, ELMWOOD PARK |
State: | IL |
Postal Code: | 60707 |
Phone Number: | 7084521802 |
Fax Number: | |
NPI Enumeration Date: | 01/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |