Provider Demographics
NPI:1851691109
Name:ADLER, LORRAINE (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:LORRAINE
Middle Name:
Last Name:ADLER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2320 BOWLING GREEN RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:KY
Mailing Address - Zip Code:42134-9611
Mailing Address - Country:US
Mailing Address - Phone:270-586-2264
Mailing Address - Fax:270-586-2402
Practice Address - Street 1:2320 BOWLING GREEN RD
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:KY
Practice Address - Zip Code:42134-9611
Practice Address - Country:US
Practice Address - Phone:270-586-2264
Practice Address - Fax:270-586-2402
Is Sole Proprietor?:No
Enumeration Date:2010-11-02
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3006691363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100145480Medicaid
KYP01019923OtherRAILROAD MEDICARE
KY7100145480Medicaid
KYK026810Medicare PIN