Provider Demographics
NPI:1972735876
Name:DOERING, LYNN VALERIE (RN)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:VALERIE
Last Name:DOERING
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 1:700 TIVERTON AVE
Mailing Address - Street 2:FACTOR 4-266
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90095-8361
Mailing Address - Country:US
Mailing Address - Phone:310-825-4890
Mailing Address - Fax:
Practice Address - Street 1:UCLA SCHOOL OF NURSING
Practice Address - Street 2:700 TIVERTON AVENUE FACTOR 4-266
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-8361
Practice Address - Country:US
Practice Address - Phone:310-825-4890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-12
Last Update Date:2009-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA330591163W00000X
CA233364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
No163W00000XNursing Service ProvidersRegistered Nurse