Doctor Name: | LORI RICE |
NPI Number: | 1356694285 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | SP012157 |
Business Practice Address: | 6451 Village Lane Macungie, PA - 180620000 |
Business Phone Number: | 6109672772 |
Business Fax Number: | 6109672559 |
Mailing Address: | Po Box 1754, ALLENTOWN |
State: | PA |
Postal Code: | 181051754 |
Phone Number: | 4848844500 |
Fax Number: | 4848840699 |
NPI Enumeration Date: | 10/16/2012 |
NPI Last Update Date: | 10/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | SP012157 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |