Healthcare Provider Details
I. General information
NPI: 1619766649
Provider Name (Legal Business Name): LURRON D ROGERS HER LOVING ARMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/05/2025
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
874 DIGBY DR
HEMET CA
92545-1905
US
IV. Provider business mailing address
874 DIGBY DR
HEMET CA
92545-1905
US
V. Phone/Fax
- Phone: 442-219-1246
- Fax: 442-219-1246
- Phone: 442-219-1246
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 374J00000X |
| Taxonomy | Doula |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174H00000X |
| Taxonomy | Health Educator |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: