Provider Demographics
NPI:1518986702
Name:PIGEON, LORRAINE CATHERINE (RNP)
Entity type:Individual
Prefix:MRS
First Name:LORRAINE
Middle Name:CATHERINE
Last Name:PIGEON
Suffix:
Gender:F
Credentials:RNP
Other - Prefix:MRS
Other - First Name:LORI
Other - Middle Name:CATHERINE
Other - Last Name:PIGEON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RNP
Mailing Address - Street 1:5 FARM ST
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MA
Mailing Address - Zip Code:02021-1310
Mailing Address - Country:US
Mailing Address - Phone:781-828-4099
Mailing Address - Fax:
Practice Address - Street 1:110 LIBERTY STREET
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02031-0909
Practice Address - Country:US
Practice Address - Phone:508-565-0215
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA199967363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health