Healthcare Provider Details

I. General information

NPI: 1487617171
Provider Name (Legal Business Name): LORRAINE ZITO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2006
Last Update Date: 08/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

237 STATION AVE
SOUTH YARMOUTH MA
02664
US

IV. Provider business mailing address

49 CARRIAGE LANE
YARMOUTH MA
02675
US

V. Phone/Fax

Practice location:
  • Phone: 508-394-2116
  • Fax: 508-760-1919
Mailing address:
  • Phone: 508-362-1357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number71935
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: