Individual
LORI ECONOMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
975 BALTIMORE PIKE, GLEN MILLS, PA 19342-1016
(302) 596-4999
Mailing address
507 WINTERTHUR LN, NEWARK, DE 19711-4131
(302) 383-7766
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
L10015837
DE
363LF0000X
Family Nurse Practitioner
AC002487
MD
363LF0000X
Family Nurse Practitioner
LG0000815
DE
363LF0000X
Family Nurse Practitioner
Primary
SP021834
PA
Other
Enumeration date
02/16/2007
Last updated
04/25/2023
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