Provider Demographics
NPI:1962590943
Name:STURIZA, LORI L (RN)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:L
Last Name:STURIZA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:L
Other - Last Name:RODRIGO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:5205 FAIRWAY CT
Mailing Address - Street 2:
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95677-4200
Mailing Address - Country:US
Mailing Address - Phone:916-632-7383
Mailing Address - Fax:916-632-7372
Practice Address - Street 1:5205 FAIRWAY CT
Practice Address - Street 2:
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95677-4200
Practice Address - Country:US
Practice Address - Phone:916-632-7383
Practice Address - Fax:916-632-7372
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA296831163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant