Provider Demographics
NPI:1780895631
Name:EMLER, LORI ANN (NP)
Entity type:Individual
Prefix:MRS
First Name:LORI
Middle Name:ANN
Last Name:EMLER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:ANN
Other - Last Name:WINTON-EMLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2651 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:SELMA
Mailing Address - State:CA
Mailing Address - Zip Code:93662-3392
Mailing Address - Country:US
Mailing Address - Phone:559-898-6000
Mailing Address - Fax:559-898-6187
Practice Address - Street 1:2651 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:SELMA
Practice Address - State:CA
Practice Address - Zip Code:93662
Practice Address - Country:US
Practice Address - Phone:559-898-6000
Practice Address - Fax:559-898-6187
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2018-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN411569363LP2300X, 363LW0102X, 363LX0106X
CA411569363LX0001X
CANPF7539363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
No363LX0106XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational Health