Provider Demographics
NPI:1982372504
Name:CAPOCCI, LORRY LEE
Entity Type:Individual
Prefix:MRS
First Name:LORRY
Middle Name:LEE
Last Name:CAPOCCI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:761 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-1213
Mailing Address - Country:US
Mailing Address - Phone:530-242-6759
Mailing Address - Fax:
Practice Address - Street 1:761 SOUTH ST
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-1213
Practice Address - Country:US
Practice Address - Phone:530-242-6759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-30
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider