Doctor Name: | MRS. LORRAINE S HARRIS |
NPI Number: | 1487828018 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | A.P.N.,C. |
License Number: | 26NN07055600 |
Business Practice Address: | 1055 Haddon Ave Collingswood, NJ - 081082047 |
Business Phone Number: | 8568544524 |
Business Fax Number: | 8568548216 |
Mailing Address: | 500 Grove St, Ste 100 HADDON HEIGHTS |
State: | NJ |
Postal Code: | 080351761 |
Phone Number: | 8567969200 |
Fax Number: | 8567969397 |
NPI Enumeration Date: | 04/15/2008 |
NPI Last Update Date: | 11/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 26NN07055600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |