Provider Demographics
NPI:1588933741
Name:LAFERRIERE, LORNA
Entity type:Individual
Prefix:
First Name:LORNA
Middle Name:
Last Name:LAFERRIERE
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 1:116 WACHUSETT ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01118-2543
Mailing Address - Country:US
Mailing Address - Phone:413-304-2413
Mailing Address - Fax:
Practice Address - Street 1:116 WACHUSETT ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01118-2543
Practice Address - Country:US
Practice Address - Phone:413-304-2413
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-17
Last Update Date:2011-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker