Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Deranee Pearl G Tabor

Individual provider Licensed Practical Nurse · NPI 1245100668

Mrs. Deranee Pearl G Tabor is a Licensed Practical Nurse in Lodi, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025
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Practice location Address checks out

541 S Ham Ln Ste A&b
Lodi, CA 95242-3059
Phone: (209) 224-8940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 704752 (CA)

Record details

NPI number1245100668
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 10, 2025
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025

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