Provider Demographics
NPI:1942499298
Name:LORING, SUSAN U (RN)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:U
Last Name:LORING
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 1:2125 KNOLL DR
Mailing Address - Street 2:#200
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-7329
Mailing Address - Country:US
Mailing Address - Phone:805-654-7605
Mailing Address - Fax:805-654-7610
Practice Address - Street 1:2125 KNOLL DR
Practice Address - Street 2:#200
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-7329
Practice Address - Country:US
Practice Address - Phone:805-654-7605
Practice Address - Fax:805-654-7610
Is Sole Proprietor?:No
Enumeration Date:2007-10-22
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN 200237171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator