Provider Demographics
NPI:1336277821
Name:BELLOWS, LORRAINE L (MBA)
Entity Type:Individual
Prefix:MRS
First Name:LORRAINE
Middle Name:L
Last Name:BELLOWS
Suffix:
Gender:F
Credentials:MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:179 POND RD
Mailing Address - Street 2:
Mailing Address - City:SURRY
Mailing Address - State:NH
Mailing Address - Zip Code:03431-8125
Mailing Address - Country:US
Mailing Address - Phone:603-355-2562
Mailing Address - Fax:
Practice Address - Street 1:17 93RD ST
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-3748
Practice Address - Country:US
Practice Address - Phone:603-357-5270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor