Individual ProviderLorraine RokoszakNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address9900 Bren Rd E, Minnetonka, MN 55343-9664(201) 321-3671PECOS EnrollmentBased on the most recent information from CMS, provider Lorraine Rokoszak does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1467490946Provider TypeIndividualFull NameRokoszak, LorraineCredentialCRNPGenderFemaleSole ProprietorNoEnumeration Date6/4/2006Last Updated6/30/2020Contact InformationPractice LocationPractice Address9900 Bren Rd E, Minnetonka, MN 55343-9664Phone(201) 321-3671FaxUnlisted FaxMailing LocationMailing Address318 Autumn Ln, Stroudsburg, PA 18360-8043Phone(201) 321-3671FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense26NJ00047800New Jersey