Provider Demographics
NPI:1568932366
Name:FERRANTE, LORRAINE (IBCLC, BSW, LPN, DEM)
Entity Type:Individual
Prefix:MS
First Name:LORRAINE
Middle Name:
Last Name:FERRANTE
Suffix:
Gender:F
Credentials:IBCLC, BSW, LPN, DEM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:461 W CENTER ST
Mailing Address - Street 2:
Mailing Address - City:SNOWFLAKE
Mailing Address - State:AZ
Mailing Address - Zip Code:85937-5205
Mailing Address - Country:US
Mailing Address - Phone:928-600-5600
Mailing Address - Fax:
Practice Address - Street 1:461 W CENTER ST
Practice Address - Street 2:
Practice Address - City:SNOWFLAKE
Practice Address - State:AZ
Practice Address - Zip Code:85937-5205
Practice Address - Country:US
Practice Address - Phone:928-600-5600
Practice Address - Fax:928-608-5880
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-05
Last Update Date:2020-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLP019401164W00000X
175M00000X
AZL16857174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN
No164W00000XNursing Service ProvidersLicensed Practical Nurse
No175M00000XOther Service ProvidersMidwife, Lay