Provider Demographics
NPI:1699303750
Name:MORABITO, LOREN FISHER (MD)
Entity type:Individual
Prefix:DR
First Name:LOREN
Middle Name:FISHER
Last Name:MORABITO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LOREN
Other - Middle Name:FISHER
Other - Last Name:MORABITO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1664 N VIRGINIA STREET BRIGHAM BLDG 316
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89557-0169
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1664 N VIRGINIA STREET BRIGHAM BLDG 316
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89557-0169
Practice Address - Country:US
Practice Address - Phone:775-682-8648
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-01
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA191656208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist