Individual
DR. LORINA BOLEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
549 FAIR ST, BLOOMSBURG, PA 17815-1419
(570) 416-1925
Mailing address
549 FAIR ST, BLOOMSBURG, PA 17815-1419
(570) 416-1925
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
OT022648
PA
208D00000X
General Practice Physician
OT022648
PA
Other
Enumeration date
06/28/2023
Last updated
08/25/2023
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