Provider Demographics
NPI:1982999785
Name:LORDS, CELERINA F
Entity Type:Individual
Prefix:MISS
First Name:CELERINA
Middle Name:F
Last Name:LORDS
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 1:6324 VISTA VERDE NORTH
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-1110
Mailing Address - Country:US
Mailing Address - Phone:702-328-5344
Mailing Address - Fax:
Practice Address - Street 1:6324 VISTA VERDE NORTH
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-1110
Practice Address - Country:US
Practice Address - Phone:702-328-5344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-09
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner