Individual
MRS. LORI A. VIDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
310 STOCK ST, SUITE 4, HANOVER, PA 17331-2276
(717) 316-3555
(717) 316-3556
Mailing address
310 STOCK ST STE 4, HANOVER, PA 17331-2276
(717) 316-3555
(717) 316-3556
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP010540
PA
363LF0000X
Family Nurse Practitioner
Primary
SP010540
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102440396
—
PA
Enumeration date
10/30/2009
Last updated
04/23/2026
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