Individual provider · Type 1 NPI

Lori Jean Perez, MSW STUDENT INTERN

Student in an Organized Health Care Education/Training Program · Upland, CA

NPI number 1184400558 Active

Practice location

1126 W. Foothill Blvd. Suite 110
Upland, CA 91786

Fax (909) 985-7193

Mailing address

1407 Foothill Blvd. #131
La Verne, CA 91750

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1184400558

Lori Jean Perez, MSW STUDENT INTERN's National Provider Identifier is 1184400558, issued on Sep 1, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Upland, CA. The record was last updated on Sep 1, 2023.