Provider Demographics
NPI:1205372422
Name:HARRIGAN, LORRAINE (LPN, SBD)
Entity Type:Individual
Prefix:MS
First Name:LORRAINE
Middle Name:
Last Name:HARRIGAN
Suffix:
Gender:F
Credentials:LPN, SBD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 W CONCORD STREET
Mailing Address - Street 2:222
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32801-1162
Mailing Address - Country:US
Mailing Address - Phone:321-270-4230
Mailing Address - Fax:800-965-5650
Practice Address - Street 1:315 W CONCORD STREET
Practice Address - Street 2:222
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32801-1162
Practice Address - Country:US
Practice Address - Phone:321-270-4230
Practice Address - Fax:800-965-5650
Is Sole Proprietor?:No
Enumeration Date:2017-01-11
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN5215602164W00000X
FLSBD20110454374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
No374J00000XNursing Service Related ProvidersDoula