Individual
MRS. LORI HUNTER DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1900 N 9TH ST, SUITE 104, PHILADELPHIA, PA 19122-1909
(215) 765-6690
(215) 765-6694
Mailing address
1500 MARKET STREET, LM 500 WEST TOWER, PHILADELPHIA, PA 19120-2100
(215) 985-2595
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
TP006893B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487787
AETNA
PA
Enumeration date
11/01/2006
Last updated
07/18/2016
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