| Doctor Name: | MRS. LORI L ZELLIE |
| NPI Number: | 1134337579 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 190 Bonar Ave Waynesburg, PA - 153701604 |
| Business Phone Number: | 7246278156 |
| Business Fax Number: | 7248521412 |
| Mailing Address: | 1070 Old National Pike, FREDERICKTOWN |
| State: | PA |
| Postal Code: | 153332114 |
| Phone Number: | 7246326801 |
| Fax Number: | 7246326312 |
| NPI Enumeration Date: | 05/18/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Specialist/Technologist, Other |
| Taxonomy Specialization: | |
| Taxonomy Definition: | General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |