Provider Demographics
NPI:1083509574
Name:MATTHEWS, LORRAINE NAOMI
Entity type:Individual
Prefix:
First Name:LORRAINE
Middle Name:NAOMI
Last Name:MATTHEWS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2911 THORNDALE AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-6024
Mailing Address - Country:US
Mailing Address - Phone:202-938-7174
Mailing Address - Fax:
Practice Address - Street 1:1710 7TH ST NW APT 42
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-3498
Practice Address - Country:US
Practice Address - Phone:202-292-9075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant