Individual
LORI VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PMHNP-BC
Contact information
Practice address
901 DOVE ST STE 160, NEWPORT BEACH, CA 92660-3033
(949) 569-5197
(949) 625-7119
Mailing address
901 DOVE ST STE 160, NEWPORT BEACH, CA 92660-3033
(949) 569-5197
(949) 625-7119
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95030653
CA
Other
Enumeration date
06/25/2024
Last updated
11/10/2025
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