Individual
LORRAINE M MCRAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
527 EISENHOWER DRIVE, SAVANNAH, GA 31406
(912) 819-9100
(912) 819-9101
Mailing address
836 E. 65TH STREET, SUITE 20, SAVANNAH, GA 31405
(912) 819-7878
(912) 819-3555
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
053901
GA
207Q00000X
Family Medicine Physician
Primary
53901
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08CBCKR
MEDICARE
GA
05
—
107605002B
—
GA
Enumeration date
07/22/2006
Last updated
05/22/2019
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