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NPI Code Detail

MEDICARE: LORIANE BLACK C.R.N.P.

MEDICARE:   LORIANE  BLACK  C.R.N.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerR089387MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588695787
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORIANE BLACK C.R.N.P.
Provider Business Mailing Address
First Line : PO BOX 64442
Second Line :
City : BALTIMORE
State : MD
Zip : 21264-4442
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 118 WESTMINSTER PIKE
Second Line :
City : REISTERSTOWN
State : MD
Zip : 21136-1060
Country : US
Telephone Number : 410-876-0086
Fax Number : 410-702-7168
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2006
Last Update Date : 03/04/2025

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Directions to “ LORIANE BLACK C.R.N.P.” Practice Location

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