Provider Demographics
NPI:1578288874
Name:CIPRI, LORENA (O&M SPECIALIST)
Entity Type:Individual
Prefix:MRS
First Name:LORENA
Middle Name:
Last Name:CIPRI
Suffix:
Gender:F
Credentials:O&M SPECIALIST
Other - Prefix:MISS
Other - First Name:LORENA
Other - Middle Name:
Other - Last Name:ALVAREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:O&M SPECIALIST
Mailing Address - Street 1:811 E BRIDGER AVE APT 212
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89101-5550
Mailing Address - Country:US
Mailing Address - Phone:269-290-2085
Mailing Address - Fax:
Practice Address - Street 1:3016 W CHARLESTON BLVD STE 200
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-1963
Practice Address - Country:US
Practice Address - Phone:702-486-5336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21733225CX0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225CX0006XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorOrientation and Mobility Training ProviderGroup - Single Specialty