Thavorn Lorungrochana, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD7557 Issued in DC

Practice address

4649 Nannie Helen Burroughs Ave NE
Washington, DC 20019-3662

Phone

(202) 398-4700

Fax

(202) 398-4701

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1891807855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12025 APPLE KNOLL CT",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208782374",
            "telephone_number": "301-840-9482",
            "fax_number": "301-840-9482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4649 NANNIE HELEN BURROUGHS AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200193662",
            "telephone_number": "202-398-4700",
            "fax_number": "202-398-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORUNGROCHANA",
        "first_name": "THAVORN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "DC",
            "license": "MD7557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTHCARE",
            "identifier": "2219400",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3220-0001",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "274363",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA CHOICE",
            "identifier": "4053222",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Lorenz, RD
• Katherin Lorenzana, IBCLC
• Laura Lorenzen, MSW
• Lori Day, PHD, LLC
• Patricia Loria, PA-C
• John Lawrence Losee, M.D.
• Lia Ilona Losonczy
• Pamela Susan Lotke, MD
• Barbara J Lott
• Ronald L Lott

• Specialist in Washington, DC
• Providers in Washington, DC by specialty
• Specialist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.