Provider Demographics
NPI:1689199945
Name:DORADO, LORENA PATRICIA
Entity Type:Individual
Prefix:
First Name:LORENA
Middle Name:PATRICIA
Last Name:DORADO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 HOWE AVE APT 255
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-3419
Mailing Address - Country:US
Mailing Address - Phone:916-805-1590
Mailing Address - Fax:
Practice Address - Street 1:1100 HOWE AVE APT 255
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-3419
Practice Address - Country:US
Practice Address - Phone:916-805-1590
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician