Lord, Timothy J

Lord, Timothy J is an individual health care provider with primary practice located at 560 Gage Blvd Ste 102 Kadlec Clinic Senior Health Clinic, Richland WA 99352. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is his primary health care specialty. Lord, Timothy J can be contacted via phone (509) 942-3135.

Contact Information

Primary practice address
560 Gage Blvd Ste 102 Kadlec Clinic Senior Health Clinic Richland WA 99352
Phone: (509) 942-3135
Fax: (509) 627-1188
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AP30004092 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 201050071NP Oregon

Profile Details

NPI number 1699094623
LBN Legal business name Lord, Timothy J
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2010
Last updated Nov 23rd, 2015 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699094623 NPPES
Oregon Other 201050071NP OREGON LICENSE

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