Basic Information
| Provider Information | |||||||||
| NPI: | 1942332424 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CUMMINGS | ||||||||
| FirstName: | LORRAINE | ||||||||
| MiddleName: | MARIE | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3421 CONCORD RD | ||||||||
| Address2: | |||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 174029001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7178124602 | ||||||||
| FaxNumber: | 7178123499 | ||||||||
| Practice Location | |||||||||
| Address1: | 1101 EDGAR ST | ||||||||
| Address2: | SUITE E | ||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 174032862 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7178124602 | ||||||||
| FaxNumber: | 7178123499 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/11/2007 | ||||||||
| LastUpdateDate: | 06/10/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | MD453713 | PA | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 103000624 | 05 | PA | MEDICAID |