Individual
LAUREN DEFIORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
225 ERDMAN ST, BANGOR, PA 18013-2043
(610) 588-2225
Mailing address
225 ERDMAN ST, BANGOR, PA 18013-2043
(610) 588-2225
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT025406
PA
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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