| Doctor Name: | LORRAINE SUSAN GRIMES |
| NPI Number: | 1093923906 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CFNP |
| License Number: | LG0000223 |
| Business Practice Address: | 720 Yorklyn Rd Suite 10 Hockessin, DE - 197078728 |
| Business Phone Number: | 3022349305 |
| Business Fax Number: | 3022349306 |
| Mailing Address: | 5406 Crestline Rd, WILMINGTON |
| State: | DE |
| Postal Code: | 198083654 |
| Phone Number: | 3023680701 |
| Fax Number: | |
| NPI Enumeration Date: | 05/21/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | LG0000223 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | DE |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |