Healthcare Provider Details

I. General information

NPI: 1265276729
Provider Name (Legal Business Name): LORRAINE FRONGILLO FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LORRAINE SIMONEAU

II. Dates (important events)

Enumeration Date: 06/20/2024
Last Update Date: 11/02/2026
Certification Date: 11/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 WEST ST UNIT 101
READING MA
01867-3765
US

IV. Provider business mailing address

4 WEST ST UNIT 101
READING MA
01867-3765
US

V. Phone/Fax

Practice location:
  • Phone: 781-348-6410
  • Fax:
Mailing address:
  • Phone: 781-348-6410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2308813
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: