Provider Demographics
NPI:1033261730
Name:VAUGHN, LORENIA LUCIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:LORENIA
Middle Name:LUCIA
Last Name:VAUGHN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 MISSION AVE
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054-2565
Mailing Address - Country:US
Mailing Address - Phone:760-730-5955
Mailing Address - Fax:760-730-5966
Practice Address - Street 1:301 MISSION AVE
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-2565
Practice Address - Country:US
Practice Address - Phone:760-730-5955
Practice Address - Fax:760-730-5966
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2014-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50996122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist