Provider Demographics
NPI:1386430577
Name:HELLEN, LORRAINE GERALYN
Entity type:Individual
Prefix:
First Name:LORRAINE
Middle Name:GERALYN
Last Name:HELLEN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:LORRAINE
Other - Middle Name:
Other - Last Name:AVAZIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:11 ARLINGTON LN
Mailing Address - Street 2:
Mailing Address - City:BAYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11709-2101
Mailing Address - Country:US
Mailing Address - Phone:516-578-9287
Mailing Address - Fax:
Practice Address - Street 1:11 ARLINGTON LN
Practice Address - Street 2:
Practice Address - City:BAYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11709-2101
Practice Address - Country:US
Practice Address - Phone:516-578-9287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist