Provider Demographics
NPI:1285499731
Name:LIFUMBE, LORRAINE (RN)
Entity type:Individual
Prefix:
First Name:LORRAINE
Middle Name:
Last Name:LIFUMBE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:271 NORTH AVE STE 411
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-5112
Mailing Address - Country:US
Mailing Address - Phone:914-819-0682
Mailing Address - Fax:
Practice Address - Street 1:271 NORTH AVE STE 411
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-5112
Practice Address - Country:US
Practice Address - Phone:914-819-0682
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-14
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY882186163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health