Provider Demographics
NPI:1740497759
Name:LORD, LORNA MARIE (LPN)
Entity type:Individual
Prefix:
First Name:LORNA
Middle Name:MARIE
Last Name:LORD
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:LORNA
Other - Middle Name:MARIE
Other - Last Name:FOSTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:3856 TWIN LAKES CT
Mailing Address - Street 2:
Mailing Address - City:WINDSOR MILL
Mailing Address - State:MD
Mailing Address - Zip Code:21244
Mailing Address - Country:US
Mailing Address - Phone:410-922-4294
Mailing Address - Fax:410-922-6240
Practice Address - Street 1:2 VILLAGE SQ
Practice Address - Street 2:CROSS KEYS
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21210-1624
Practice Address - Country:US
Practice Address - Phone:419-323-1700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLP26093164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse