Provider Demographics
NPI:1881953479
Name:HOUSSA, LORINE CHIDIMA
Entity type:Individual
Prefix:
First Name:LORINE
Middle Name:CHIDIMA
Last Name:HOUSSA
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 1:3208 CURTIS DR
Mailing Address - Street 2:410
Mailing Address - City:TEMPLE HILLS
Mailing Address - State:MD
Mailing Address - Zip Code:20748-1247
Mailing Address - Country:US
Mailing Address - Phone:240-424-1890
Mailing Address - Fax:
Practice Address - Street 1:3208 CURTIS DR
Practice Address - Street 2:410
Practice Address - City:TEMPLE HILLS
Practice Address - State:MD
Practice Address - Zip Code:20748-1247
Practice Address - Country:US
Practice Address - Phone:240-424-1890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-16
Last Update Date:2012-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health