Healthcare Provider Details

I. General information

NPI: 1922942291
Provider Name (Legal Business Name): LORRAINE KAY ENGEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18270 SISKIYOU RD STE B
APPLE VALLEY CA
92307-1413
US

IV. Provider business mailing address

2730 WINDSOR AVE
INDEPENDENCE MO
64052-3259
US

V. Phone/Fax

Practice location:
  • Phone: 760-991-3020
  • Fax:
Mailing address:
  • Phone: 816-301-1061
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number4454
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: