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NPI Code Detail

MEDICARE: LORI MARINA CORRENTE

MEDICARE: LORI MARINA CORRENTE
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
1101YA0400XAddiction (Substance Use Disorder) CounselorCA

General Provider Information

NPI Number : 1396535092
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORI MARINA CORRENTE
Provider Business Mailing Address
First Line : 24953 PASEO DE VALENCIA (BLDG B) SUITE 1B
Second Line :
City : LAGUNA HILLS
State : CA
Zip : 92653-4340
Country : US
Telephone Number : 949-540-0170
Fax Number : 949-540-0173
Provider Business Practice Location Address
First Line : 24953 PASEO DE VALENCIA (BLDG B) SUITE 1B
Second Line :
City : LAGUNA HILLS
State : CA
Zip : 92653-4340
Country : US
Telephone Number : 949-540-0170
Fax Number : 949-540-0173
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2025
Last Update Date : 05/07/2025

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Directions to “ LORI MARINA CORRENTE ” Practice Location

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