Provider Demographics
NPI:1801213376
Name:SCHONBORN, LORENA (LVN)
Entity Type:Individual
Prefix:
First Name:LORENA
Middle Name:
Last Name:SCHONBORN
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4426 E ALDERDALE AVE
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92807-2820
Mailing Address - Country:US
Mailing Address - Phone:714-444-8244
Mailing Address - Fax:
Practice Address - Street 1:4426 E ALDERDALE AVE
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92807-2820
Practice Address - Country:US
Practice Address - Phone:714-444-8244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-23
Last Update Date:2014-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA211426164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse