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-- LORI LACEY -- RN

Individual Provider (NPI-1) Active

Registered Nurse, Critical Care Medicine

Provider Information

NPI Number
1891985057
Provider Type
Individual Provider (NPI-1)
Credentials
RN
Status
Active

Contact & Location

Address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR, 972392964
Phone
(503) 273-5053

Specialties & Taxonomies

Registered Nurse, Critical Care Medicine Primary License: OR #091000284RN

All Addresses

MAILING

22665 SW 94TH TER

TUALATIN, OR, 970627242

(503) 691-9536

LOCATION

3710 SW US VETERANS HOSPITAL RD

PORTLAND, OR, 972392964

(503) 273-5053