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NPI Code Detail

MEDICARE: MRS. LORI JEANNE ROBERTSON MSN, FNP-C

MEDICARE:  MRS. LORI JEANNE ROBERTSON  MSN, FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner15322CA

General Provider Information

NPI Number : 1275539934
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LORI JEANNE ROBERTSON MSN, FNP-C
Provider Business Mailing Address
First Line : 13422 MONTSERRAT CT
Second Line :
City : CHINO HILLS
State : CA
Zip : 91709-1327
Country : US
Telephone Number : 909-628-3146
Fax Number : 909-590-4535
Provider Business Practice Location Address
First Line : 4200 CHINO HILLS PKWY
Second Line : STE 905
City : CHINO HILLS
State : CA
Zip : 91709-3776
Country : US
Telephone Number : 909-606-2216
Fax Number : 909-606-9599
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2005
Last Update Date : 07/08/2007

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Directions to “ MRS. LORI JEANNE ROBERTSON MSN, FNP-C” Practice Location

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