Robert W. Gardner Dr. Gardner Outpatient Program
NPI #1659608487 in Lucerne, California
Provider Information
- NPI Number
- 1659608487
- Entity Type
- Organization
- Organization Name
- Robert W. Gardner Dr. Gardner Outpatient Program
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Nov 16, 2009
- Last Updated
- Nov 16, 2009
Practice Location
- Address
- 6300 E HWY 20
- City
- Lucerne
- State
- California
- ZIP Code
- 95458
- Phone
- (707) 274-9299
Authorized Official
- Name
- MS. KAY LYNN LANIER
- Title
- ADMINISTRATOR
- Phone
- (707) 274-9299
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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