Individual
LORRAINE CORNWELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 754-2486
(973) 754-2975
Mailing address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 754-2486
(973) 754-2975
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA77204
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0044580
—
NJ
Enumeration date
11/04/2005
Last updated
07/08/2007
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