Healthcare Provider Details

I. General information

NPI: 1710107289
Provider Name (Legal Business Name): MS. LORI SCHUMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. LORI ANN SCHUMAN

II. Dates (important events)

Enumeration Date: 04/26/2007
Last Update Date: 04/12/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14215 ROAD 28
MADERA CA
93638-5715
US

IV. Provider business mailing address

14215 ROAD 28
MADERA CA
93638-5715
US

V. Phone/Fax

Practice location:
  • Phone: 559-675-7893
  • Fax: 559-662-1568
Mailing address:
  • Phone: 559-675-7893
  • Fax: 559-662-1568

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number557084
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: