Provider Demographics
NPI:1528201639
Name:CURETON, LORI J (CPNP)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:J
Last Name:CURETON
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12675 LA MIRADA BLVD
Mailing Address - Street 2:SUITE 401
Mailing Address - City:LA MIRADA
Mailing Address - State:CA
Mailing Address - Zip Code:90638-2200
Mailing Address - Country:US
Mailing Address - Phone:562-789-5435
Mailing Address - Fax:562-789-5437
Practice Address - Street 1:12675 LA MIRADA BLVD
Practice Address - Street 2:SUITE 401
Practice Address - City:LA MIRADA
Practice Address - State:CA
Practice Address - Zip Code:90638-2200
Practice Address - Country:US
Practice Address - Phone:562-789-5435
Practice Address - Fax:562-789-5437
Is Sole Proprietor?:No
Enumeration Date:2009-04-20
Last Update Date:2014-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN 782270, NP 20174363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics