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1891985057
LORI LACEY
PORTLAND, OR
NPI
1891985057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WC0200X Registered Nurse, Critical Care Medicine
(Licence: OR 091000284RN)
Enumeration Date
2007-07-25
Last Update Date
2007-07-25
Business Address
-- LORI LACEY RN
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-2964
Phone number: 503-273-5053
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Mailing Address
-- LORI LACEY RN
22665 SW 94TH TER
TUALATIN, OR 97062-7242
Phone number: 503-691-9536
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