Search › California › 163WI0500X
Lornise Logan-Berry
NPI 1255889218 · on the registry since 2016
Practice
- Address
- 2545 Twin Creeks Dr
San Ramon, CA 94583 - Phone
- (510) 415-5921
- Organisation at this address
- New Age Infusions
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 163WI0500X
163WI0500X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-09-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California