Provider Demographics
NPI:1225309743
Name:CRANK, LORENA (MSW)
Entity Type:Individual
Prefix:MS
First Name:LORENA
Middle Name:
Last Name:CRANK
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1254
Mailing Address - Street 2:
Mailing Address - City:MAGDALENA
Mailing Address - State:NM
Mailing Address - Zip Code:87825-1254
Mailing Address - Country:US
Mailing Address - Phone:575-854-2626
Mailing Address - Fax:575-854-2616
Practice Address - Street 1:HIGHWAY 169 MILE MARKER 21
Practice Address - Street 2:ALAMO NAVAJO SCHOOL BOARD INC.
Practice Address - City:ALAMO
Practice Address - State:NM
Practice Address - Zip Code:87825
Practice Address - Country:US
Practice Address - Phone:878-854-2626
Practice Address - Fax:878-854-2616
Is Sole Proprietor?:No
Enumeration Date:2012-01-13
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker