Individual
DR. JENNIFER ANNE LORINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
725 SKIPPACK PIKE, BLUE BELL, PA 19422-1741
(610) 613-5042
Mailing address
PO BOX 83, GWYNEDD, PA 19436-0083
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS015859
PA
Other
Enumeration date
08/09/2010
Last updated
11/30/2014
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