Provider Demographics
NPI:1497080816
Name:SHORMAN, LORRAINE DENISE (CD(DONA))
Entity Type:Individual
Prefix:MRS
First Name:LORRAINE
Middle Name:DENISE
Last Name:SHORMAN
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4901 MYRA AVE
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-4335
Mailing Address - Country:US
Mailing Address - Phone:714-624-3495
Mailing Address - Fax:714-821-6403
Practice Address - Street 1:4901 MYRA AVE
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:CA
Practice Address - Zip Code:90630-4335
Practice Address - Country:US
Practice Address - Phone:714-624-3495
Practice Address - Fax:714-821-6403
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-04
Last Update Date:2009-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No374U00000XNursing Service Related ProvidersHome Health Aide