Provider Demographics
NPI:1639293301
Name:CUADRA, LORRAINE ELIZABETH
Entity Type:Individual
Prefix:MS
First Name:LORRAINE
Middle Name:ELIZABETH
Last Name:CUADRA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 W CARSON ST # D-2
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90502-2004
Mailing Address - Country:US
Mailing Address - Phone:310-222-3198
Mailing Address - Fax:310-320-3521
Practice Address - Street 1:1000 W CARSON ST # D-2
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90502-2004
Practice Address - Country:US
Practice Address - Phone:310-222-3198
Practice Address - Fax:310-320-3521
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist