Basic Information
Provider Information
NPI: 1114053501
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DRAPEK
FirstName: LORRAINE
MiddleName: C
NamePrefix:  
NameSuffix:  
Credential: FNP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 55 FRUIT ST
Address2: MASSACHUSETTS GENERAL HOSPITAL
City: BOSTON
State: MA
PostalCode: 021142621
CountryCode: US
TelephoneNumber: 6177262000
FaxNumber: 6177244847
Practice Location
Address1: 55 FRUIT ST
Address2: LUNDER LL2
City: BOSTON
State: MA
PostalCode: 021142621
CountryCode: US
TelephoneNumber: 6177262000
FaxNumber: 6177244847
Other Information
ProviderEnumerationDate: 02/27/2007
LastUpdateDate: 05/08/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X143499MAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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