Individual
LORRAINE MARIA WHARTON-MOHAMMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
252 S 4TH ST, LEBANON, PA 17042-6111
(717) 821-8017
(717) 270-2401
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
002288
NY
2084P0800X
Psychiatry Physician
Primary
MD417285
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02663830
—
NY
05
—
102377120
—
PA
01
—
11509273
CAQH ID
—
01
—
MD417285
STATE LICENSE - MD
PA
Enumeration date
05/20/2006
Last updated
08/13/2024
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