| Doctor Name: | MS. LORRAINE R. DIANA |
| NPI Number: | 1144208711 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | R069788 |
| Business Practice Address: | 40900 Merchants Ln Leonardtown, MD - 206503795 |
| Business Phone Number: | 3019971315 |
| Business Fax Number: | 3019971110 |
| Mailing Address: | 40900 Merchants Ln, LEONARDTOWN |
| State: | MD |
| Postal Code: | 206503795 |
| Phone Number: | 3019971315 |
| Fax Number: | 3019971110 |
| NPI Enumeration Date: | 01/04/2006 |
| NPI Last Update Date: | 05/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LX0001X |
| License Number: | R069788 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Obstetrics & Gynecology |
| Taxonomy Definition: | |