Provider Demographics
NPI:1417006222
Name:WESTLUND, LORAYNE M (RN)
Entity Type:Individual
Prefix:MRS
First Name:LORAYNE
Middle Name:M
Last Name:WESTLUND
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 1:35 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-6736
Mailing Address - Country:US
Mailing Address - Phone:972-775-8192
Mailing Address - Fax:972-775-8192
Practice Address - Street 1:35 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:TX
Practice Address - Zip Code:76065-6736
Practice Address - Country:US
Practice Address - Phone:972-775-8192
Practice Address - Fax:972-775-8192
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX543113163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health