Provider Demographics
NPI:1548428527
Name:LOTHWELL, LORRAINE (MD)
Entity type:Individual
Prefix:DR
First Name:LORRAINE
Middle Name:
Last Name:LOTHWELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:916 UNION ST APT 3A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-1616
Mailing Address - Country:US
Mailing Address - Phone:212-680-4270
Mailing Address - Fax:212-680-4271
Practice Address - Street 1:425 EAST 61ST ST, PH FLOOR
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065
Practice Address - Country:US
Practice Address - Phone:212-680-4270
Practice Address - Fax:212-680-4271
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-27
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2455522084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry