Provider Demographics
NPI:1215230222
Name:DURAN, LORRAINE
Entity Type:Individual
Prefix:MRS
First Name:LORRAINE
Middle Name:
Last Name:DURAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:953 E SAHARA AVE STE A7
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89104-3028
Mailing Address - Country:US
Mailing Address - Phone:702-496-0355
Mailing Address - Fax:702-273-4258
Practice Address - Street 1:953 E SAHARA AVE STE A7
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104-3028
Practice Address - Country:US
Practice Address - Phone:702-496-0355
Practice Address - Fax:702-273-4258
Is Sole Proprietor?:No
Enumeration Date:2010-12-13
Last Update Date:2010-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator