| Doctor Name: | LORRAINE L GARDNER |
| NPI Number: | 1306824164 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | 445 |
| Business Practice Address: | 2101 Trinity Dr Ste. N Los Alamos, NM - 875444102 |
| Business Phone Number: | 5056616191 |
| Business Fax Number: | 5056630386 |
| Mailing Address: | 2101 Trinity Dr, Ste. N LOS ALAMOS |
| State: | NM |
| Postal Code: | 875444102 |
| Phone Number: | 5056616191 |
| Fax Number: | 5056630386 |
| NPI Enumeration Date: | 01/03/2006 |
| NPI Last Update Date: | 01/03/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251E1200X |
| License Number: | 445 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Ergonomics |
| Taxonomy Definition: | |