Individual
LORETTA A. DANDREA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3901 S ATHERTON ST, SUITE 5, STATE COLLEGE, PA 16801-8324
(814) 466-7921
(814) 466-6570
Mailing address
3901 S ATHERTON ST, SUITE 5, STATE COLLEGE, PA 16801-8324
(814) 466-7921
(814) 466-6570
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
MD044934L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012617630003
—
PA
Enumeration date
04/11/2006
Last updated
07/08/2007
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