Individual
LORIANE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
118 WESTMINSTER PIKE, REISTERSTOWN, MD 21136-1060
(410) 876-0086
(410) 702-7168
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R089387
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
419712700
—
MD
Enumeration date
07/05/2006
Last updated
03/04/2025
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