Lori Wilborn

NPI 1295444776 · on the registry since 2022 · sole proprietor

Practice

Address: 6145 Imperial Ave
San Diego, CA 92114
Phone: (619) 234-8888
Organisation at this address: San Diego Second Chance Program
San Diego Second Chance Program
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 22

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2023-08-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California