Provider Demographics
NPI:1346047784
Name:CHEE-PELT, LORINDA
Entity type:Individual
Prefix:
First Name:LORINDA
Middle Name:
Last Name:CHEE-PELT
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2105 HASLER VALLEY ROAD
Mailing Address - Street 2:
Mailing Address - City:GALLUP
Mailing Address - State:NM
Mailing Address - Zip Code:87301-0016
Mailing Address - Country:US
Mailing Address - Phone:505-608-4546
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 16
Practice Address - Street 2:
Practice Address - City:LUKACHUKAI
Practice Address - State:AZ
Practice Address - Zip Code:86507-0016
Practice Address - Country:US
Practice Address - Phone:505-608-4546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM72354163WA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)Group - Single Specialty