Provider Demographics
NPI:1811522691
Name:BROMFIELD ALLEYNE, LORRAINE VIVIENE
Entity type:Individual
Prefix:MRS
First Name:LORRAINE
Middle Name:VIVIENE
Last Name:BROMFIELD ALLEYNE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:379 RED ROSE CIRCLE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835
Mailing Address - Country:US
Mailing Address - Phone:407-575-0492
Mailing Address - Fax:407-420-7354
Practice Address - Street 1:3536 PINE RIDGE COURT
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32808
Practice Address - Country:US
Practice Address - Phone:407-575-0492
Practice Address - Fax:407-420-7354
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-11
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care