Provider Demographics
NPI:1710311774
Name:ALBRIGHT, LORI N (RN)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:N
Last Name:ALBRIGHT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:712 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OR
Mailing Address - Zip Code:97114-9749
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:712 MAIN ST
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OR
Practice Address - Zip Code:97114-9749
Practice Address - Country:US
Practice Address - Phone:971-241-2463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-27
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201041503RN163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse