Deranee Pearl G Tabor
Licensed Practical Nurse • Lodi, CA
Professional Overview & Biography Verified Profile Summary
Deranee Pearl Tabor is a registered healthcare professional specializing in Licensed Practical Nurse in Lodi, CA. Practice services are available at 541 S HAM LN STE A&B under active NPI credentials.
Practice Location & Contact Primary Location
541 S Ham Ln Ste A&b
Lodi, CA 952423059
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Lodi, CA
Practicing in Lodi, CA (440 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2025-12-03NUCC Taxonomy Code: 164W00000X
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Counselor - Addiction (Substance Use Disorder)
Counselor - Addiction (Substance Use Disorder)
Counselor - Addiction (Substance Use Disorder)
Counselor - Addiction (Substance Use Disorder)
Licensed Vocational Nurse
Counselor - Addiction (Substance Use Disorder)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 541 S HAM LN STE A&B, LODI, CA 952423059 (Tel: 2092248940)
Registered at 541 S HAM LN STE A&B, LODI, CA 952423059 (Tel: 2092248940)
Recorded as DERANEE PEARL TABOR
Licensed Practical Nurse (License #704752 in CA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
541 S Ham Ln Ste A&b
Lodi, CA 952423059
Phone: 2092248940
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