Doctor Name: | LORI MARIE PROCTOR |
NPI Number: | 1437132628 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.P.M. |
License Number: | |
Business Practice Address: | 3885 Mechanicsville Rd Whitehall, PA - 180523321 |
Business Phone Number: | 6104379343 |
Business Fax Number: | 6104375997 |
Mailing Address: | 3885 Mechanicsville Rd, WHITEHALL |
State: | PA |
Postal Code: | 180523321 |
Phone Number: | 6104379343 |
Fax Number: | 6104375997 |
NPI Enumeration Date: | 11/22/2005 |
NPI Last Update Date: | 08/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |