Healthcare Provider Details

I. General information

NPI: 1598308645
Provider Name (Legal Business Name): LORNA FAIRWEATHER FRANCIS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/22/2019
Last Update Date: 01/10/2025
Certification Date: 01/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2440 CYLBURN AVENUE
BALTIMORE MD
21215-1739
US

IV. Provider business mailing address

2440 CYLBURN AVENUE
BALTIMORE MD
21215-1739
US

V. Phone/Fax

Practice location:
  • Phone: 410-601-5457
  • Fax:
Mailing address:
  • Phone: 410-601-5457
  • Fax: 410-601-6302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR185455
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: