Lori E Harner, RDHAP

Individual provider Active NPI Dental Hygienist · Oak Run, CA

NPI 1366701005 · NPPES record last updated May 15, 2012

Key facts

NPI
1366701005
Entity type
Individual (NPI type 1)
Primary specialty
Dental Hygienist 124Q00000X
Practice address
27850 Bullskin Ridge Rd
Oak Run, CA 96069-9504
Phone
(530) 472-1958
Fax
(530) 472-1335
NPI assigned
May 15, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X CA Yes

Addresses

Primary practice location

27850 Bullskin Ridge Rd
Oak Run, CA 96069-9504

Mailing address

PO Box 113
Round Mountain, CA 96084-0113
Phone (530) 472-1958

Other providers in Oak Run, CA

All providers in Oak Run, CA · Dental Hygienist in California

Sources for this page

Verify at the official NPI Registry.