| Shoua Lor, | |
|
1644 Central Ave, Mckinleyville, CA 95519-4342 | |
| (707) 839-3068 | |
| Not Available |
| Full Name | Shoua Lor |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 1644 Central Ave, Mckinleyville, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447864756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95015272 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Open Door Community Health Centers | 9436067485 | 100 |
| Entity Name | Northern Valley Indian Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295752384 PECOS PAC ID: 1557493723 Enrollment ID: O20140429000114 |
| Mailing Address | Practice Location Address |
|---|---|
| Shoua Lor, 1644 Central Ave, Mckinleyville, CA 95519-4342 Ph: () - | Shoua Lor, 1644 Central Ave, Mckinleyville, CA 95519-4342 Ph: (707) 839-3068 |
Kendra Kay Hackney, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1644 Central Ave, Mckinleyville, CA 95519 Phone: 707-839-3068 Fax: 707-839-3827 | |
Reilley Mullin, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1644 Central Avenue, Suite F, Mckinleyville, CA 95519 Phone: 707-839-3068 Fax: 707-839-3827 | |
Mrs. Chantal Madeleine Lobue, FNP/PAC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1735 Central Ave, Mckinleyville, CA 95519 Phone: 707-839-4349 Fax: 707-839-4124 | |
Laura Lynn Lyons, A.R.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1644 Central Ave, Mckinleyville, CA 95519 Phone: 707-839-3068 Fax: 707-839-3827 | |
Mrs. Nina Bleue Goodwin, F.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1644 Central Ave, Mckinleyville, CA 95519 Phone: 707-839-3068 Fax: 707-839-3827 | |
Ms. Margaret Jean Mahon, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2449 Bolier Ave, Mckinleyville, CA 95519 Phone: 707-633-6384 |