Provider Demographics
NPI:1053565473
Name:MCEACHRANE, LORENA FAYE (LPN)
Entity type:Individual
Prefix:MISS
First Name:LORENA
Middle Name:FAYE
Last Name:MCEACHRANE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17520 WEXFORD TER
Mailing Address - Street 2:4D
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-2872
Mailing Address - Country:US
Mailing Address - Phone:917-592-1962
Mailing Address - Fax:347-561-9393
Practice Address - Street 1:17520 WEXFORD TER
Practice Address - Street 2:4D
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-2872
Practice Address - Country:US
Practice Address - Phone:917-592-1962
Practice Address - Fax:347-561-9393
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-12
Last Update Date:2008-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY115234164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse