Individual
MRS. LAURA ANNE LONERGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
800 SPRUCE ST, 1 CATHCART, PHILADELPHIA, PA 19107-6130
(610) 662-3340
Mailing address
800 SPRUCE ST, 1 CATHCART, PHILADELPHIA, PA 19107-6130
(215) 662-3340
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA052322
PA
Other
Enumeration date
06/17/2008
Last updated
08/11/2014
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