Provider Demographics
NPI:1215991088
Name:SAUNDERS, LORI (RN FNP-BC)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:RN FNP-BC
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:
Other - Last Name:ROSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN FNP-BC
Mailing Address - Street 1:39662 FOXTAIL DR
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92591-0311
Mailing Address - Country:US
Mailing Address - Phone:760-468-7249
Mailing Address - Fax:
Practice Address - Street 1:28078 BAXTER RD STE 530
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-1405
Practice Address - Country:US
Practice Address - Phone:951-566-5229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60311610163W00000X
WAAP60311613363L00000X
CA11697363LF0000X
CA301578363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
W13565Medicare ID - Type Unspecified
P28423Medicare UPIN