Individual
LORIE B. NATOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
621 S MAIN ST, DU BOIS, PA 15801-1413
(814) 371-0600
(814) 372-4764
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-6560
(814) 372-2848
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA051008
PA
363AM0700X
Medical Physician Assistant
OA-000784
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103149783
—
PA
Enumeration date
07/31/2006
Last updated
03/22/2017
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