Conyers, Lorna Lyanthie

Conyers, Lorna Lyanthie is an sole proprietor health care provider with primary practice located at 31532 Railroad Canyon Rd Suite 105, Canyon Lake CA 92587-9437. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Conyers, Lorna Lyanthie can be contacted via phone (951) 246-1055.

Contact Information

Primary practice address
31532 Railroad Canyon Rd Suite 105 Canyon Lake CA 92587-9437
Phone: (951) 246-1055
Fax: (951) 244-9615
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 19574 California

Profile Details

NPI number 1356383731
LBN Legal business name Conyers, Lorna Lyanthie
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2006
Last updated Apr 28th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356383731 NPPES
California MEDICAID PSY195740
California Other P00288631

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