Organization
LORI L CHERUP MD LLC
Active
Other names
LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN STANKEVICH (BUSINESS OFFICE MANAGER)
(412) 220-8181
Entity
Organization
Contact information
Practice address
701 BOYCE ROAD, BRIDGEVILLE, PA 15017
(412) 220-8181
(412) 220-1150
Mailing address
701 BOYCE ROAD, BRIDGEVILLE, PA 15017
(412) 220-8181
(412) 220-1150
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD14649
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002296
—
PA
01
—
2266
HEALTH AMERICA
PA
01
—
555329
BLUE SHIELD
PA
Enumeration date
07/31/2006
Last updated
08/04/2008
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