Provider Demographics
NPI:1679788251
Name:REGA, LORRAINE
Entity type:Individual
Prefix:MRS
First Name:LORRAINE
Middle Name:
Last Name:REGA
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 1:1048 BRADLEY MILL ROAD
Mailing Address - Street 2:RESPITE CARE OF AIKEN LORRAINE REGA
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29805-1048
Mailing Address - Country:US
Mailing Address - Phone:803-644-2785
Mailing Address - Fax:803-644-2785
Practice Address - Street 1:1048 BRADLEY MILL ROAD
Practice Address - Street 2:RESPITE CARE OF AIKEN
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29805-1048
Practice Address - Country:US
Practice Address - Phone:803-644-2785
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide