Individual
LORRIN PETROLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2005 TECHNOLOGY PKWY STE 400, MECHANICSBURG, PA 17050-9413
(717) 791-2520
(717) 703-0061
Mailing address
152 NEEDLEWOOD DR, HARRISBURG, PA 17112-8714
(570) 590-1728
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
SP019339
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103789290
—
PA
01
—
738854
MEDICARE
PA
Enumeration date
10/16/2018
Last updated
02/06/2021
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