Individual
LORI L CHERUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
701 BOYCE RD, BRIDGEVILLE, PA 15017-1225
(412) 220-8181
(412) 220-1150
Mailing address
701 BOYCE RD, BRIDGEVILLE, PA 15017-1225
(412) 220-8181
(412) 220-1150
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD030907E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
469236
BLUE SHIELD
PA
Enumeration date
07/31/2008
Last updated
04/02/2015
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