Gardner, Lorraine L
Gardner, Lorraine L is an individual health care provider with primary practice located at 2101 Trinity Dr Ste. N, Los Alamos NM 87544-4102. She recently has 8 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Ergonomics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Human Factors, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Gardner, Lorraine L can be contacted via phone (505) 661-6191.Contact Information
Primary practice address
2101 Trinity Dr Ste. N
Los Alamos NM 87544-4102
Phone: (505) 661-6191
Fax: (505) 663-0386
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 445 | New Mexico |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Ergonomics | 2251E1200X | 445 | New Mexico |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 2251H1200X | 445 | New Mexico |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Human Factors | 2251H1300X | 445 | New Mexico |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology | 2251N0400X | 445 | New Mexico |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | 445 | New Mexico |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | 445 | New Mexico |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 445 | New Mexico |
Profile Details
| NPI number | 1306824164 |
|---|---|
| LBN Legal business name | Gardner, Lorraine L |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2006 |
| Last updated | Jan 3rd, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306824164 | NPPES |
| New Mexico | Other | 850448868 | ALL OTHER INSURANCIES |
| New Mexico | Other | 201079804 | ALL OTHER INSURANCIES |
| New Mexico | MEDICAID | 00074136 | ALL OTHER INSURANCIES |
| New Mexico | Other | NM00Q036 | ALL OTHER INSURANCIES |
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