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NPI Code Detail

MEDICARE: LORRAINE HALDER PMHNP-BC

MEDICARE: LORRAINE HALDER PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner95037629CA

General Provider Information

NPI Number : 1235080953
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORRAINE HALDER PMHNP-BC
Provider Business Mailing Address
First Line : 7552 8TH ST
Second Line :
City : BUENA PARK
State : CA
Zip : 90621-2841
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 680 E COLORADO BLVD STE 180
Second Line :
City : PASADENA
State : CA
Zip : 91101-6144
Country : US
Telephone Number : 646-453-6777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2026
Last Update Date : 02/07/2026

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