| Doctor Name: | LORI A DEPERSIA |
| NPI Number: | 1295727352 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | MD029084E |
| Business Practice Address: | 1648 Huntingdon Pike Radiology Department Meadowbrook, PA - 190468001 |
| Business Phone Number: | 2159383467 |
| Business Fax Number: | 2159383474 |
| Mailing Address: | 1001 Briggs Rd, Suite 210 MOUNT LAUREL |
| State: | NJ |
| Postal Code: | 080544100 |
| Phone Number: | 8562314774 |
| Fax Number: | 8562319699 |
| NPI Enumeration Date: | 08/16/2005 |
| NPI Last Update Date: | 06/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085N0700X |
| License Number: | MD029084E |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Neuroradiology |
| Taxonomy Definition: | A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |