Provider Demographics
NPI:1013355312
Name:PIRNIE, LOREEN PHYLLIS CAROL (MD)
Entity Type:Individual
Prefix:
First Name:LOREEN
Middle Name:PHYLLIS CAROL
Last Name:PIRNIE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LOREEN
Other - Middle Name:PHYLLIS CAROL
Other - Last Name:FOURNIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:117 ELLENFIELD ST STE 101
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02905-4541
Mailing Address - Country:US
Mailing Address - Phone:401-444-6779
Mailing Address - Fax:
Practice Address - Street 1:593 EDDY ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-4923
Practice Address - Country:US
Practice Address - Phone:401-444-5448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-07
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43011156392084P0800X
RILP028682084P0800X
RICLP028682084P0800X
RIMD155132084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry