MEDICARE: LORI G CURRAN

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
1	163WS0200X	School Registered Nurse	RN128567	AZ

General Provider Information

NPI Number	:	1053867432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORI G CURRAN

Provider Business Mailing Address
First Line	:	1919 N LYNN DR
Second Line	:
City	:	FLAGSTAFF
State	:	AZ
Zip	:	86001-1276
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7150 SILVER SADDLE RD
Second Line	:
City	:	FLAGSTAFF
State	:	AZ
Zip	:	86004-3207
Country	:	US
Telephone Number	:	928-773-4152
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2016
Last Update Date	:	08/26/2016

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Directions to “ LORI G CURRAN ” Practice Location

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