Provider Demographics
NPI:1891994166
Name:CHORAZY, LORRAINE (RN, LAC)
Entity Type:Individual
Prefix:
First Name:LORRAINE
Middle Name:
Last Name:CHORAZY
Suffix:
Gender:F
Credentials:RN, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 N FULLERTON AVE
Mailing Address - Street 2:# D8
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-3474
Mailing Address - Country:US
Mailing Address - Phone:973-986-8497
Mailing Address - Fax:
Practice Address - Street 1:96 BOWDAN RD
Practice Address - Street 2:
Practice Address - City:CEDAR GROVE
Practice Address - State:NJ
Practice Address - Zip Code:07009
Practice Address - Country:US
Practice Address - Phone:973-986-8497
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-16
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00046600171100000X
NY0030821171100000X
PAKO000572171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist