Provider Demographics
NPI:1144534132
Name:ANDERSON, LORENA (MSW STUDENT INTERN)
Entity type:Individual
Prefix:
First Name:LORENA
Middle Name:
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:MSW STUDENT INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3671 BUSINESS DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95820-2165
Mailing Address - Country:US
Mailing Address - Phone:916-734-8396
Mailing Address - Fax:916-734-4150
Practice Address - Street 1:3671 BUSINESS DR
Practice Address - Street 2:SUITE 110
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95820-2165
Practice Address - Country:US
Practice Address - Phone:916-734-8396
Practice Address - Fax:916-734-4150
Is Sole Proprietor?:No
Enumeration Date:2010-08-02
Last Update Date:2012-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program