Provider Demographics
NPI:1851767321
Name:LOREN'S HAIR STUDIO
Entity Type:Organization
Organization Name:LOREN'S HAIR STUDIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/HAIR STYLIST
Authorized Official - Prefix:
Authorized Official - First Name:LOREN
Authorized Official - Middle Name:DE'ANN
Authorized Official - Last Name:HAYNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-823-9952
Mailing Address - Street 1:11003 WICKLOWE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77016-1871
Mailing Address - Country:US
Mailing Address - Phone:713-823-9952
Mailing Address - Fax:
Practice Address - Street 1:10950 NORTH FWY
Practice Address - Street 2:SUITE 214
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77037-1108
Practice Address - Country:US
Practice Address - Phone:713-823-9952
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-19
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case ManagementGroup - Single Specialty