Healthcare Provider Details

I. General information

NPI: 1629194295
Provider Name (Legal Business Name): LORNA MARKEY R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5740 RALSTON ST
VENTURA CA
93003-6051
US

IV. Provider business mailing address

1868 RIBERA DR
OXNARD CA
93030-5442
US

V. Phone/Fax

Practice location:
  • Phone: 805-289-3330
  • Fax: 805-289-3395
Mailing address:
  • Phone: 805-289-3330
  • Fax: 805-289-3395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number488736
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: