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NPI Code Detail

MEDICARE: LORNA CRYSTAL LOERA

MEDICARE:   LORNA CRYSTAL LOERA
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
11041C0700XClinical Social Worker34009570AIN
21041C0700XClinical Social Worker76786CA
31041C0700XClinical Social Worker

General Provider Information

NPI Number : 1982091260
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORNA CRYSTAL LOERA
Provider Business Mailing Address
First Line : PO BOX 6044
Second Line :
City : SOUTH BEND
State : IN
Zip : 46660-6044
Country : US
Telephone Number : 714-975-3493
Fax Number :
Provider Business Practice Location Address
First Line : 235 E BROADWAY STE 314
Second Line :
City : LONG BEACH
State : CA
Zip : 90802-7801
Country : US
Telephone Number : 888-588-8995
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2015
Last Update Date : 02/25/2026

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Directions to “ LORNA CRYSTAL LOERA ” Practice Location

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