Provider Demographics
NPI:1578797700
Name:LORANDEAU, DONNA MARIE (LPN)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:MARIE
Last Name:LORANDEAU
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:811 BREESPORT ROAD
Mailing Address - Street 2:
Mailing Address - City:ERIN
Mailing Address - State:NY
Mailing Address - Zip Code:14838
Mailing Address - Country:US
Mailing Address - Phone:607-846-0587
Mailing Address - Fax:
Practice Address - Street 1:1222 BREESPORT RD
Practice Address - Street 2:
Practice Address - City:ERIN
Practice Address - State:NY
Practice Address - Zip Code:14838-9705
Practice Address - Country:US
Practice Address - Phone:607-796-2370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-01
Last Update Date:2011-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY269635164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse