Provider Demographics
NPI:1528396603
Name:GARCIA, LORRAINE MARTIN (WHNP-BC, CNM)
Entity Type:Individual
Prefix:
First Name:LORRAINE
Middle Name:MARTIN
Last Name:GARCIA
Suffix:
Gender:F
Credentials:WHNP-BC, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9029 FEATHER RIVER CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-2366
Mailing Address - Country:US
Mailing Address - Phone:702-778-4976
Mailing Address - Fax:
Practice Address - Street 1:2810 W CHARLESTON BLVD STE 78
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-1910
Practice Address - Country:US
Practice Address - Phone:702-269-6018
Practice Address - Fax:702-269-6081
Is Sole Proprietor?:No
Enumeration Date:2009-11-30
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25ME00080501367A00000X, 367A00000X
NVAPRN002028367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife