Provider Demographics
NPI:1689972812
Name:RAYMOND, LURIANE DORCELY (FNP:)
Entity Type:Individual
Prefix:MRS
First Name:LURIANE
Middle Name:DORCELY
Last Name:RAYMOND
Suffix:
Gender:F
Credentials:FNP:
Other - Prefix:
Other - First Name:LURIANE
Other - Middle Name:
Other - Last Name:DORCELY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16463 DAHLGREN RD
Mailing Address - Street 2:
Mailing Address - City:KING GEORGE
Mailing Address - State:VA
Mailing Address - Zip Code:22485-5810
Mailing Address - Country:US
Mailing Address - Phone:540-644-9505
Mailing Address - Fax:540-644-9508
Practice Address - Street 1:16463 DAHLGREN RD
Practice Address - Street 2:
Practice Address - City:KING GEORGE
Practice Address - State:VA
Practice Address - Zip Code:22485-5810
Practice Address - Country:US
Practice Address - Phone:540-644-9505
Practice Address - Fax:540-644-9508
Is Sole Proprietor?:No
Enumeration Date:2011-03-11
Last Update Date:2019-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024172595363L00000X, 363LF0000X
MDR124825363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner