Provider Demographics
NPI:1750528584
Name:SIKORSKI, LORNA D (MA, CCC-SP)
Entity type:Individual
Prefix:MS
First Name:LORNA
Middle Name:D
Last Name:SIKORSKI
Suffix:
Gender:F
Credentials:MA, CCC-SP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13681 NEWPORT AVE STE 8
Mailing Address - Street 2:#354
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-7815
Mailing Address - Country:US
Mailing Address - Phone:714-838-6002
Mailing Address - Fax:
Practice Address - Street 1:1800 E LA VETA AVE
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92866-2902
Practice Address - Country:US
Practice Address - Phone:714-633-7400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-15
Last Update Date:2009-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4456235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist