Individual
ABEGAEL N LORICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7602 CENTRAL AVE, STE 201, PHILA, PA 19111-2443
(215) 745-8989
(215) 745-9072
Mailing address
741 BROADWAY, NEWARK, NJ 07104-4309
(973) 483-1300
(973) 676-1396
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
25MA10339000
NJ
207V00000X
Obstetrics & Gynecology Physician
Primary
MD034135L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000923757
—
PA
01
—
0052859000
INDEPENDENCE BLUE CROSS
PA
01
—
110157
HIGHMARK BLUE SHIELD
PA
01
—
2117910
MAMSI LIFE & HEALTH
PA
01
—
30038160
KEYSTONE MERCY HEALTH
PA
01
—
3209082
AETNA HMO
PA
01
—
4101135
AETNA PPO
PA
01
—
4564
BRAVO HEALTH
PA
01
—
P00025015
RR MEDICARE
PA
Enumeration date
12/15/2005
Last updated
10/20/2022
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