Provider Demographics
NPI:1578798138
Name:LOEFKE, LORRIE (RN)
Entity Type:Individual
Prefix:MRS
First Name:LORRIE
Middle Name:
Last Name:LOEFKE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:LORRIE
Other - Middle Name:HIRSCH
Other - Last Name:LOEFKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:555 CAPEN BLVD
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-2821
Mailing Address - Country:US
Mailing Address - Phone:716-837-3207
Mailing Address - Fax:
Practice Address - Street 1:555 CAPEN BLVD
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-2821
Practice Address - Country:US
Practice Address - Phone:716-837-3207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-26
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY437504163WG0000X, 163WH0200X, 163WM0102X, 163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical