Provider Demographics
NPI:1356354997
Name:SCHWARTZ, LORRAINE M (GNP)
Entity type:Individual
Prefix:MRS
First Name:LORRAINE
Middle Name:M
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:GNP
Other - Prefix:MS
Other - First Name:LORRAINE
Other - Middle Name:M
Other - Last Name:TOTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:GNP
Mailing Address - Street 1:571 S ALLEN RD
Mailing Address - Street 2:
Mailing Address - City:FLAT ROCK
Mailing Address - State:NC
Mailing Address - Zip Code:28731-9447
Mailing Address - Country:US
Mailing Address - Phone:828-692-6178
Mailing Address - Fax:855-356-3998
Practice Address - Street 1:571 S ALLEN RD
Practice Address - Street 2:
Practice Address - City:FLAT ROCK
Practice Address - State:NC
Practice Address - Zip Code:28731-9447
Practice Address - Country:US
Practice Address - Phone:828-692-6178
Practice Address - Fax:855-356-3998
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RINPP37350363LG0600X
NC5007066363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0365360Medicaid
MANP1259OtherBLUE CROSS BLUE SHIELD
MANP1259OtherBLUE CROSS BLUE SHIELD
S59835Medicare UPIN