Provider Demographics
NPI:1508524562
Name:WALKER, LORNA ANN (PHD, BCHN)
Entity Type:Individual
Prefix:
First Name:LORNA
Middle Name:ANN
Last Name:WALKER
Suffix:
Gender:F
Credentials:PHD, BCHN
Other - Prefix:
Other - First Name:LORNA
Other - Middle Name:ANN
Other - Last Name:HUSSEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1205 SANDRETTO DRIVE
Mailing Address - Street 2:#C214
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86305-3791
Mailing Address - Country:US
Mailing Address - Phone:954-205-2218
Mailing Address - Fax:
Practice Address - Street 1:1205 SANDRETTO DRIVE
Practice Address - Street 2:#C214
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86305-3791
Practice Address - Country:US
Practice Address - Phone:954-205-2218
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-07
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education