Individual
LORI A WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
727 WELSH RD STE 201, HUNTINGDON VALLEY, PA 19006-6311
(215) 657-6776
(267) 913-5961
Mailing address
2360 MARYLAND RD, WILLOW GROVE, PA 19090-1709
(215) 657-6776
(267) 913-5963
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA001642L
PA
Other
Enumeration date
01/04/2007
Last updated
03/29/2021
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