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General NPI Number Information
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NPI Number | 1497715023
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Entity Type | Individual
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Provider Name | LORIANNA FLETCHER MD, FACC
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Gender | Female
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Dates
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Enumeration Date | 03/27/2006
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 1941 JOHNSON AVE # 101
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-4154
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Country | US
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Telephone | 805-782-8844
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Fax | 805-782-8859
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Provider Business Mailing Address
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Address Line | 1941 JOHNSON AVE SUITE 101
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-4154
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Country | US
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Telephone | 805-782-8844
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Fax | 805-782-8859
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number | A54052
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A54052
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License Number State | CA
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