Provider Demographics
NPI:1578680476
Name:LORANGER, AILEEN MACDONALD (NP)
Entity Type:Individual
Prefix:
First Name:AILEEN
Middle Name:MACDONALD
Last Name:LORANGER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 MORSES LN
Mailing Address - Street 2:
Mailing Address - City:ACUSHNET
Mailing Address - State:MA
Mailing Address - Zip Code:02743-1801
Mailing Address - Country:US
Mailing Address - Phone:508-207-6914
Mailing Address - Fax:
Practice Address - Street 1:15 MORSES LN
Practice Address - Street 2:
Practice Address - City:ACUSHNET
Practice Address - State:MA
Practice Address - Zip Code:02743-1801
Practice Address - Country:US
Practice Address - Phone:508-207-6914
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA277159363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics