Provider Demographics
NPI:1336355155
Name:LOEHR-COLEMAN, PAULA SUE (RN)
Entity type:Individual
Prefix:MS
First Name:PAULA
Middle Name:SUE
Last Name:LOEHR-COLEMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2335 BROOKHILL DR
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-2110
Mailing Address - Country:US
Mailing Address - Phone:805-857-2561
Mailing Address - Fax:
Practice Address - Street 1:2335 BROOKHILL DR
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-2110
Practice Address - Country:US
Practice Address - Phone:805-857-2561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA218390163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant