Individual
LORI LYNN CONNERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RN, CPNP-PC
Contact information
Practice address
3 MARCELA DRIVE, WILLITS, CA 95490
(707) 459-6115
Mailing address
6195 AFTON LN, BEAUMONT, TX 77706-6009
(936) 234-9265
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
201401242NP-PP
OR
363LP0200X
Pediatric Nurse Practitioner
Primary
95002320
CA
363LP0200X
Pediatric Nurse Practitioner
AP123972
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500669246
—
OR
Enumeration date
06/11/2013
Last updated
02/03/2025
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