Provider Demographics
NPI:1235215526
Name:DARDANI, LORRAINE J (RN)
Entity Type:Individual
Prefix:MRS
First Name:LORRAINE
Middle Name:J
Last Name:DARDANI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4917 LIMEHILL DR
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13215-1326
Mailing Address - Country:US
Mailing Address - Phone:315-487-6542
Mailing Address - Fax:
Practice Address - Street 1:4917 LIMEHILL DR
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13215-1326
Practice Address - Country:US
Practice Address - Phone:315-487-6542
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-29
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY317201163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01490362Medicaid