Provider Demographics
NPI:1164099537
Name:HUTCHINSON, LORRAE LYNN (HOME HEALTH AIDE)
Entity Type:Individual
Prefix:
First Name:LORRAE
Middle Name:LYNN
Last Name:HUTCHINSON
Suffix:
Gender:F
Credentials:HOME HEALTH AIDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10155 BAMMEL NORTH HOUSTON RD APT 101
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77086-2960
Mailing Address - Country:US
Mailing Address - Phone:515-718-1384
Mailing Address - Fax:
Practice Address - Street 1:10155 BAMMEL NORTH HOUSTON RD APT 101
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77086-2960
Practice Address - Country:US
Practice Address - Phone:515-718-1384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-04
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide