Provider Demographics
NPI:1558151555
Name:DOCTORLOUNE LLC
Entity type:Organization
Organization Name:DOCTORLOUNE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LURIANE
Authorized Official - Middle Name:DORCELY
Authorized Official - Last Name:RAYMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-548-9248
Mailing Address - Street 1:11005 PLUME CT
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22407-2525
Mailing Address - Country:US
Mailing Address - Phone:540-548-9248
Mailing Address - Fax:
Practice Address - Street 1:1105 PLUME CT
Practice Address - Street 2:
Practice Address - City:SALEM FIELDS
Practice Address - State:VA
Practice Address - Zip Code:22407
Practice Address - Country:US
Practice Address - Phone:540-548-9248
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty