Provider Demographics
NPI:1790657245
Name:MILANES FLORES, LORAINE YERALDIN
Entity type:Individual
Prefix:
First Name:LORAINE
Middle Name:YERALDIN
Last Name:MILANES FLORES
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 1:12324 ASTOLAT AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-2473
Mailing Address - Country:US
Mailing Address - Phone:225-362-0266
Mailing Address - Fax:
Practice Address - Street 1:12324 ASTOLAT AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-2473
Practice Address - Country:US
Practice Address - Phone:225-362-0266
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA224324363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily