Provider Demographics
NPI:1669110326
Name:RANGEL, LORIE (FNP)
Entity type:Individual
Prefix:
First Name:LORIE
Middle Name:
Last Name:RANGEL
Suffix:
Gender:
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:396 NORTH CHURCH ROAD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:EARLIMART
Mailing Address - State:CA
Mailing Address - Zip Code:93219
Mailing Address - Country:US
Mailing Address - Phone:661-552-5100
Mailing Address - Fax:
Practice Address - Street 1:396 N. CHURCH RD
Practice Address - Street 2:SUITE 3
Practice Address - City:EARLIMART
Practice Address - State:CA
Practice Address - Zip Code:93219
Practice Address - Country:US
Practice Address - Phone:661-552-5100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-23
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2021231378363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily