Maria Isabel Lorah, ARNP, NP-C, COHN-S

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP61132775 Issued in WA

Practice address

6302 112TH St E Ste 300
Puyallup, WA 98373-4315

Phone

(253) 651-9263

NPI assigned

Jun 9, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Renew Aesthetics and Regenerative Medicine

  • Clinic/Center
  • Puyallup, WA
  • NPI 1639933286
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1720437858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6302 112TH ST E STE 300",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983734315",
            "telephone_number": "253-651-9263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6302 112TH ST E STE 300",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983734315",
            "telephone_number": "253-651-9263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORAH",
        "first_name": "MARIA",
        "middle_name": "ISABEL",
        "name_prefix": "Mrs.",
        "credential": "ARNP, NP-C, COHN-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "898548",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61132775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jake David Look, DPT
• Delaney Grace Lopez
• Joanne K Lopez, MA60931387
• Liliana Lopez
• Dorothy M Lor
• Megan Marie Loran, L.M.P.
• Amy Elizabeth Loring, LICSW
• Losch Family Chiropractic Center, PS
• Gerald M Losch, D.C.
• Adrian Lewis Lott

• Family Nurse Practitioner in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.