Individual
LORI A DELOZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4 INDUSTRIAL BLVD STE 180, PAOLI, PA 19301
(484) 320-7700
(610) 296-3876
Mailing address
140 W GERMANTOWN PIKE, STE 250, PLYMOUTH MEETING, PA 19462-1421
(484) 530-0205
(484) 530-0209
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA002791L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031508460001
—
PA
Enumeration date
09/27/2006
Last updated
07/21/2022
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