Provider Demographics
NPI:1205971397
Name:SPICHER, LORS PIMENTEL (DDS)
Entity type:Individual
Prefix:DR
First Name:LORS
Middle Name:PIMENTEL
Last Name:SPICHER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:LORS
Other - Middle Name:DELA CRUZ
Other - Last Name:PIMENTEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:44913 10TH ST W
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-2313
Mailing Address - Country:US
Mailing Address - Phone:661-949-2551
Mailing Address - Fax:661-949-8222
Practice Address - Street 1:44913 10TH ST W
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-2313
Practice Address - Country:US
Practice Address - Phone:661-949-2551
Practice Address - Fax:661-949-8222
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA310351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice