Individual
LORI TALUTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 TOWER RD, BRISTOL, PA 19007-3116
(443) 383-9300
Mailing address
409 W DRINKER ST, DUNMORE, PA 18509-2117
(570) 340-5079
(570) 340-5896
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP014022
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP014022
CRNP LICENSE
PA
Enumeration date
10/08/2014
Last updated
03/27/2024
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