Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LORAN GILLASPY, RADT I
Active Sole ProprietorLORAN GILLASPY, RADT I is a Substance Abuse Rehabilitation Facility healthcare provider located in NEVADA CITY, California. NPI 1477949105 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · NEVADA CITY, CA
Registration Details
- NPI Number
- 1477949105
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 9, 2015 (11.391800352953 yrs)
- Last Updated
- Apr 9, 2015
- License
-
R1196130315 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
145 BOST AVENEVADA CITY, CA, 959593249Browse CA providers · Browse ZIP 95959
- Phone
- 5302659045
- Fax
- 5304787977
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.