Lorna E Frederick | Bronx, NY • PECOS Search

Lorna E Frederick

Registered Nurse

Nursing Service Providers

2942 Tiemann Ave, Bronx, NY 10469-3322

PECOS Enrollment

Based on the most recent information from CMS, provider Lorna E Frederick does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 7 days ago.

Profile Details

Provider ID
1043059645
Provider Type
Individual
Full Name
Frederick, Lorna E
Credential
RN

Gender
Female
Sole Proprietor
No
Enumeration Date
5/22/2024
Last Updated
5/22/2024

Contact Information

Practice Location

2942 Tiemann Ave, Bronx, NY 10469-3322

Unlisted Fax

Mailing Location

2942 Tiemann Ave, Bronx, NY 10469-3322

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 163W00000X Primary	Description Registered Nurse Nursing Service Providers	License 544424 New York