Provider Demographics
NPI:1417999244
Name:ACHOR, LORELEI C (DPM)
Entity Type:Individual
Prefix:DR
First Name:LORELEI
Middle Name:C
Last Name:ACHOR
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24953 PASEO DE VALENCIA
Mailing Address - Street 2:STE 15C
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-4342
Mailing Address - Country:US
Mailing Address - Phone:949-305-8333
Mailing Address - Fax:949-305-6333
Practice Address - Street 1:24953 PASEO DE VALENCIA
Practice Address - Street 2:SUITE 15C
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-4342
Practice Address - Country:US
Practice Address - Phone:949-305-8333
Practice Address - Fax:949-305-6333
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE4473213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP00615834OtherMEDICARE RAILROAD
CA6273250001Medicare NSC
CAV04437Medicare UPIN