Individual
MRS. LORI MICHELLE HARBISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
30 MEDICAL CENTER BLVD, POB 1, SUITE 305, CHESTER, PA 19013-3955
(610) 874-6448
Mailing address
642 8TH AVE, PROSPECT PARK, PA 19076-1501
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN588912
PA
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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