Provider Demographics
NPI:1275539934
Name:ROBERTSON, LORI JEANNE (MSN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:LORI
Middle Name:JEANNE
Last Name:ROBERTSON
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:13422 MONTSERRAT CT
Mailing Address - Street 2:
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-1327
Mailing Address - Country:US
Mailing Address - Phone:909-628-3146
Mailing Address - Fax:909-590-4535
Practice Address - Street 1:4200 CHINO HILLS PKWY
Practice Address - Street 2:STE 905
Practice Address - City:CHINO HILLS
Practice Address - State:CA
Practice Address - Zip Code:91709-3776
Practice Address - Country:US
Practice Address - Phone:909-606-2216
Practice Address - Fax:909-606-9599
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA15322363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily