| Doctor Name: | LORENE L HARRELL |
| NPI Number: | 1023067659 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 0600006920 |
| Business Practice Address: | 2704 Southern Blvd Se Ste 2 Rio Rancho, NM - 871243748 |
| Business Phone Number: | 5052681830 |
| Business Fax Number: | 5059941472 |
| Mailing Address: | 2889 Pine Forest Dr Se, RIO RANCHO |
| State: | NM |
| Postal Code: | 871247281 |
| Phone Number: | 5059940409 |
| Fax Number: | 5059941472 |
| NPI Enumeration Date: | 05/10/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1744P3200X |
| License Number: | 0600006920 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | Prosthetics Case Management |
| Taxonomy Definition: | |