| Doctor Name: | LORI LYNN CONNERS |
| NPI Number: | 1346688306 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, RN, CPNP-PC |
| License Number: | 201401242NP-PP |
| Business Practice Address: | 10830 Highway 62 Eagle Point, OR - 975249516 |
| Business Phone Number: | 5418304060 |
| Business Fax Number: | 5418304090 |
| Mailing Address: | Po Box 3158, PORTLAND |
| State: | OR |
| Postal Code: | 972083158 |
| Phone Number: | 5418304060 |
| Fax Number: | 5418304090 |
| NPI Enumeration Date: | 06/11/2013 |
| NPI Last Update Date: | 08/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 201401242NP-PP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |