Provider Demographics
NPI:1760007090
Name:BAEUMLER, LORAIN CLAIR (RN)
Entity Type:Individual
Prefix:MS
First Name:LORAIN
Middle Name:CLAIR
Last Name:BAEUMLER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:LORAIN
Other - Middle Name:CLAIR
Other - Last Name:BAKSHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:44 SHEA ST
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-5840
Mailing Address - Country:US
Mailing Address - Phone:617-840-9568
Mailing Address - Fax:
Practice Address - Street 1:500 VICTORY RD
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02171-3139
Practice Address - Country:US
Practice Address - Phone:617-847-1950
Practice Address - Fax:617-786-9894
Is Sole Proprietor?:No
Enumeration Date:2020-06-12
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN199086163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health