Provider Demographics
NPI:1366796831
Name:CABREROS-LORENZANA, MARIA LOURDES (RN)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:LOURDES
Last Name:CABREROS-LORENZANA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5954 PENNSWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90712-1231
Mailing Address - Country:US
Mailing Address - Phone:562-366-0418
Mailing Address - Fax:
Practice Address - Street 1:5954 PENNSWOOD AVE.
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90712-1231
Practice Address - Country:US
Practice Address - Phone:562-366-0418
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-05
Last Update Date:2012-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA715303163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency