Basic Information
Provider Information | |||||||||
NPI: | 1811648694 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | LORANGER | ||||||||
FirstName: | KAREN | ||||||||
MiddleName: | MURPHY | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: | LPN | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: | LORANGER | ||||||||
OtherFirstName: | KAREN | ||||||||
OtherMiddleName: | DENISE | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: | LPN | ||||||||
OtherLastNameType: | 1 | ||||||||
Mailing Information | |||||||||
Address1: | 601 LABOONE RD | ||||||||
Address2: |   | ||||||||
City: | EASLEY | ||||||||
State: | SC | ||||||||
PostalCode: | 296428744 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 8645084612 | ||||||||
FaxNumber: |   | ||||||||
Practice Location | |||||||||
Address1: | 209 OCONEE SQUARE DR | ||||||||
Address2: |   | ||||||||
City: | SENECA | ||||||||
State: | SC | ||||||||
PostalCode: | 296782546 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 8008056989 | ||||||||
FaxNumber: |   | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 01/13/2022 | ||||||||
LastUpdateDate: | 01/13/2022 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: | 01/13/2022 |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 164W00000X | 47495 | SC | Y |   | Nursing Service Providers | Licensed Practical Nurse |   |
No ID Information.