MS. LORIN J BACON


Address: 2345 Fair Oaks Blvd # 2853, Sacramento, CA 95825-4708
Phone: 9164806526

MS. LORIN J BACON (NPI# 1700926185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700926185
Entity Type Individual
Full Name MS. LORIN J BACON
Other Name MS. LORI J BACON
Credential ACNP
Practice Address 2345 Fair Oaks Blvd # 2853
Sacramento
CA 95825-4708
Mailing Address 401 Gardner Ct
Folsom
CA 95630-9567
Practice Telephone 9164806526
Mailing Telephone 9163531105
Enumeration Date 2007-02-07
Last Update Date 2011-01-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
422161 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2345 FAIR OAKS BLVD # 2853
City SACRAMENTO
State CA
Zip Code 95825-4708

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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871104877 Aimee Yrigan Aquitania Nurse Practitioner 701 Howe Ave Ste 50, Sacramento, CA 95825-4670 2020-08-12
1861957862 Jarad Reddekopp Nurse Practitioner 1300 Ethan Way Ste 600, Sacramento, CA 95825-2296 2019-02-04
1972026391 Kevin Yi Chen Nurse Practitioner 2751 W River Dr Apt 921, Sacramento, CA 95833-3785 2017-07-18
1790235323 Kendall Thelen Nurse Practitioner 1750 Howe Ave, Suite 500, Sacramento, CA 95825-3367 2016-10-06
1962950550 Jennifer Mcgrath Nurse Practitioner 2315 Stockton Blvd Ste 4212, Sacramento, CA 95817-2201 2016-09-13
1659679595 Nai Sio Saechao Nurse Practitioner 9948 Firstone Dr, Sacramento, CA 95829-8149 2011-03-01
1356464333 Jenifer Lyn Rofkahr Nurse Practitioner 1485 River Park Dr Ste 200, Sacramento, CA 95815-4530 2007-04-06
1952457467 Mary Wyckoff Nurse Practitioner 2315 Stockton Ave, Sacramento, CA 95817 2007-01-26
1093799660 Jeff Scott Kasten Nurse Practitioner 2316 Stockton Blvd, Sacramento, CA 95817-2202 2005-12-06
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Competitor

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City SACRAMENTO
Zip Code 95825

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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