Provider Demographics
NPI:1184282337
Name:DOHRMAN, LORRIE J (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:LORRIE
Middle Name:J
Last Name:DOHRMAN
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18237 N 42ND PL
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-1406
Mailing Address - Country:US
Mailing Address - Phone:480-620-2504
Mailing Address - Fax:
Practice Address - Street 1:18237 N 42ND PL
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-1406
Practice Address - Country:US
Practice Address - Phone:480-620-2504
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-03
Last Update Date:2019-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN949607163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZRN949607OtherREGISTERED NURSE