Individual
LORI A SPENCE
Active
Individual
LORI A SPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, AGPCNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN562648
PA
363LG0600X
Gerontology Nurse Practitioner
Primary
SP016790
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1007307260070
DHS GROUP #
PA
05
—
103246571
—
PA
01
—
867633
NOVITAS (MEDICARE) GROUP #
PA
Enumeration date
10/20/2016
Last updated
07/02/2024
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