Provider Demographics
NPI:1982731550
Name:SEASE, LORRAINE STONE (MD, MSPH)
Entity Type:Individual
Prefix:DR
First Name:LORRAINE
Middle Name:STONE
Last Name:SEASE
Suffix:
Gender:F
Credentials:MD, MSPH
Other - Prefix:DR
Other - First Name:LORRAINE
Other - Middle Name:MARIE
Other - Last Name:STONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MSPH
Mailing Address - Street 1:1821 HILLANDALE RD STE 24B
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-2671
Mailing Address - Country:US
Mailing Address - Phone:919-383-5437
Mailing Address - Fax:919-383-7694
Practice Address - Street 1:1821 HILLANDALE RD STE 24B
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-2671
Practice Address - Country:US
Practice Address - Phone:919-383-5437
Practice Address - Fax:919-383-7694
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200400755207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC230575OtherMEDICARE GROUP #
NC2066525Medicare PIN