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NPI Code Detail

MEDICARE: BONNIE LORDS

MEDICARE: BONNIE LORDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker74703CA

General Provider Information

NPI Number : 1982986063
Entity Type Code : Individual
Provider Name (Legal Business Name) : BONNIE LORDS
Provider Business Mailing Address
First Line : 6850 MORRO RD
Second Line :
City : ATASCADERO
State : CA
Zip : 93422-4123
Country : US
Telephone Number : 805-434-2449
Fax Number :
Provider Business Practice Location Address
First Line : 6850 MORRO RD
Second Line :
City : ATASCADERO
State : CA
Zip : 93422-4123
Country : US
Telephone Number : 805-434-2449
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2011
Last Update Date : 02/22/2019

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Directions to “ BONNIE LORDS ” Practice Location

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