Individual
LORI A QUICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1250 S CEDAR CREST BLVD, SUITE 310, ALLENTOWN, PA 18103-6224
(610) 402-6890
(610) 402-6892
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA002442L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0998880
KEYSTONE CENTRAL
PA
01
—
20045718
AMERIHEALTH MERCY
PA
01
—
50043523
CAPITAL BLUE CROSS
PA
01
—
P00162704
RAILROAD MEDICARE
PA
Enumeration date
05/15/2006
Last updated
12/21/2015
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