Provider Demographics
NPI:1902006414
Name:PELOSOF, LORRAINE CHERYL (MD)
Entity Type:Individual
Prefix:
First Name:LORRAINE
Middle Name:CHERYL
Last Name:PELOSOF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:FDA 10903 NEW HAMPSHIRE AVE
Mailing Address - Street 2:CDER/OHOP/DOP2/BUILDING 22
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20993-5347
Mailing Address - Country:US
Mailing Address - Phone:240-402-6469
Mailing Address - Fax:
Practice Address - Street 1:FDA 10903 NEW HAMPSHIRE AVE
Practice Address - Street 2:CDER/OHOP/DOP2/BUILDING 22
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20993-5347
Practice Address - Country:US
Practice Address - Phone:240-402-6469
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-23
Last Update Date:2019-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN6960207R00000X, 207RH0003X
DCMD044884208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology