LORI MAE DOUGLASS NP MS CCM NPI 1538742788

NPI Information

NPI: 1538742788
Provider Name: LORI MAE DOUGLASS, NP, MS, CCM
Classification: Nurse Practitioner - 363LX0106X
Entity Type: Individual

Specialization: Occupational Health

Address:
35 MILLER AVE STE 331
MILL VALLEY, CA
ZIP 94941
Phone: (415) 381-3133
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Lori Mae Douglass, NP, MS, CCM is an occupational health nurse practitioner in Mill Valley, CA. Lori Mae Douglass, NP, MS, CCM NPI is 1538742788. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

35 MILLER AVE STE 331
MILL VALLEY, CA
ZIP 94941-903
Phone: (415) 381-3133

The enumeration date for this NPI number is 5/4/2021 and was last updated on 5/4/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LX0106X	Nurse Practitioner	Occupational Health	381935	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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