Lori Gonder

NPI #1841550845 in Woodland, Washington

Provider Information

NPI Number: 1841550845
Entity Type: Individual
Name: Lori Gonder
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: May 23, 2012
Last Updated: May 23, 2012

Practice Location

Address: 566 GOERIG ST
City: Woodland
State: Washington
ZIP Code: 98674-9442
Phone: (360) 910-6515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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