Provider Demographics
NPI:1841669991
Name:HERRERA, LORI LAMMERS (FNP)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:LAMMERS
Last Name:HERRERA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:340 S LEMON AVE UNIT 9892
Mailing Address - Street 2:
Mailing Address - City:WALNUT
Mailing Address - State:CA
Mailing Address - Zip Code:91789-2706
Mailing Address - Country:US
Mailing Address - Phone:800-318-3963
Mailing Address - Fax:415-651-3458
Practice Address - Street 1:530B HARKLE RD STE 100
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-4739
Practice Address - Country:US
Practice Address - Phone:800-318-3963
Practice Address - Fax:415-651-3458
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-18
Last Update Date:2022-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP8093363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily