Dr. Lorraine E Weaver
Obstetrician
2405 W Lexington Ave
Elkhart
, Indiana 46514-1417
Dr. Lorraine E Weaver
Obstetrician
2405 W Lexington Ave
Elkhart
, Indiana 46514-1417
(574) 522-0039
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About
Features
Specialties
- Obstetrician
Languages spoken
- English
Location
First Address
- Dr. Lorraine E Weaver
- 2405 W Lexington Ave
- Elkhart, IN
- Zip : 46514-1417
- Fax : (574) 522-0039
- Phone : (574) 295-8805
Second Address
- Dr. Lorraine E Weaver
- 2405 W Lexington Ave
- Elkhart, IN
- Zip : 46514-1417
- Fax : (574) 522-0039
- Phone : (574) 295-8805
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VX0000X | Obstetrician | 01060244B | IN |
National Provider Identifier
| NPI | 1164466520 |
|---|---|
| Provider Name | Dr. Lorraine E Weaver |
| First Address | Elkhart, IN 46514-1417 |
| Second Address | Elkhart, IN 46514-1417 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/06/2006 |
| Last Update Date | 26/08/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000374689 | ANTHEM BLUE CROSS (01) | IN |
| 17835 | PHYSICIANS HEALTH PLAN (01) | IN |
| 200518070 | (05) | IN |
| I32766 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.