Provider Demographics
NPI:1508208174
Name:TORRES, LOURDES PINEDA (MSN, APRN, NP-C)
Entity Type:Individual
Prefix:MRS
First Name:LOURDES
Middle Name:PINEDA
Last Name:TORRES
Suffix:
Gender:F
Credentials:MSN, APRN, NP-C
Other - Prefix:MISS
Other - First Name:LOURDES
Other - Middle Name:GUARDA
Other - Last Name:PINEDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN, RN
Mailing Address - Street 1:300 WASHINGTON ST 208
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-6762
Mailing Address - Country:US
Mailing Address - Phone:318-366-1982
Mailing Address - Fax:318-322-5694
Practice Address - Street 1:300 WASHINGTON STREET
Practice Address - Street 2:SUITE 208
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201
Practice Address - Country:US
Practice Address - Phone:318-651-8337
Practice Address - Fax:318-322-5694
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-24
Last Update Date:2015-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP07290363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care