Healthcare Provider Details

I. General information

NPI: 1174899223
Provider Name (Legal Business Name): LORRAINE EILEEN TONER M.D., M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2012
Last Update Date: 08/02/2024
Certification Date: 08/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 HITT ST
COLUMBIA MO
65212-0001
US

IV. Provider business mailing address

1323 PARK AVE APT 9
NEW YORK NY
10029-6010
US

V. Phone/Fax

Practice location:
  • Phone: 573-499-6041
  • Fax: 573-499-6091
Mailing address:
  • Phone: 646-554-4040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number285061
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number2024023217
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: