Provider Demographics
NPI:1962770891
Name:HALL, LORNA MAY (LPN)
Entity type:Individual
Prefix:MRS
First Name:LORNA
Middle Name:MAY
Last Name:HALL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:669 RALPH AVE
Mailing Address - Street 2:APT. 3A
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212-3899
Mailing Address - Country:US
Mailing Address - Phone:347-702-3735
Mailing Address - Fax:
Practice Address - Street 1:669 RALPH AVE
Practice Address - Street 2:APT. 3A
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-3899
Practice Address - Country:US
Practice Address - Phone:347-702-3735
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-06
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY307723-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse