Provider Demographics
NPI:1477037141
Name:TREVINO, LORENA SANCHEZ
Entity Type:Individual
Prefix:
First Name:LORENA
Middle Name:SANCHEZ
Last Name:TREVINO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11413 N FM 2528
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79415-7405
Mailing Address - Country:US
Mailing Address - Phone:806-283-4692
Mailing Address - Fax:
Practice Address - Street 1:11413 N FM 2528
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79415-7405
Practice Address - Country:US
Practice Address - Phone:806-283-4692
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-19
Last Update Date:2018-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant