Provider Demographics
NPI:1285848861
Name:DANIEL, LORI JEANE (REGISTERED NURSE)
Entity Type:Individual
Prefix:MRS
First Name:LORI
Middle Name:JEANE
Last Name:DANIEL
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41002 FLAGSTONE ST
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93551-1859
Mailing Address - Country:US
Mailing Address - Phone:661-722-2277
Mailing Address - Fax:
Practice Address - Street 1:41002 FLAGSTONE ST
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93551-1859
Practice Address - Country:US
Practice Address - Phone:661-722-2277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA306914163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics