Provider Demographics
NPI:1659986024
Name:WEST, LORI LEANN (FNP)
Entity Type:Individual
Prefix:MS
First Name:LORI
Middle Name:LEANN
Last Name:WEST
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MISS
Other - First Name:LORI
Other - Middle Name:LEANN
Other - Last Name:WEST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1028 N DOUTY ST
Mailing Address - Street 2:
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93230-3723
Mailing Address - Country:US
Mailing Address - Phone:559-589-6420
Mailing Address - Fax:
Practice Address - Street 1:225 S CHINOWTH ST
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-5411
Practice Address - Country:US
Practice Address - Phone:559-627-3222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-12
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95015294363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA95015294OtherCALIFORNIA BOARD OF REGISTERED NURSING