Delozier, Lori A

Delozier, Lori A is an individual health care provider with primary practice located at 4 Industrial Blvd Ste 180 , Paoli PA 19301. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Delozier, Lori A can be contacted via phone (484) 320-7700.

Contact Information

Primary practice address
4 Industrial Blvd Ste 180 Paoli PA 19301
Phone: (484) 320-7700
Fax: (610) 296-3876
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA002791L Pennsylvania

Profile Details

NPI number 1366533523
LBN Legal business name Delozier, Lori A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366533523 NPPES
Pennsylvania MEDICAID 1031508460001

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