Provider Demographics
NPI:1063730034
Name:BYFIELD, LORRAINE CHARLOTTE
Entity type:Individual
Prefix:
First Name:LORRAINE
Middle Name:CHARLOTTE
Last Name:BYFIELD
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 1:3228 HERING AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-5004
Mailing Address - Country:US
Mailing Address - Phone:718-882-0303
Mailing Address - Fax:
Practice Address - Street 1:3228 HERING AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-5004
Practice Address - Country:US
Practice Address - Phone:718-882-0303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-14
Last Update Date:2010-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist