Basic Information
| Provider Information | |||||||||
| NPI: | 1548593387 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WILLIAMS | ||||||||
| FirstName: | LORRAINE | ||||||||
| MiddleName: | WESTON | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | RN | ||||||||
| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 239 NORTHERN BLVD | ||||||||
| Address2: | |||||||||
| City: | SOUTH ABINGTON TOWNSHIP | ||||||||
| State: | PA | ||||||||
| PostalCode: | 184119302 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5705872142 | ||||||||
| FaxNumber: | 5705871978 | ||||||||
| Practice Location | |||||||||
| Address1: | 239 NORTHERN BLVD | ||||||||
| Address2: | |||||||||
| City: | SOUTH ABINGTON TOWNSHIP | ||||||||
| State: | PA | ||||||||
| PostalCode: | 184119302 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5705872142 | ||||||||
| FaxNumber: | 5705871978 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/11/2009 | ||||||||
| LastUpdateDate: | 09/11/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | RN226822L | PA | Y | Nursing Service Providers | Registered Nurse |
No ID Information.