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LORRAINE MARIE CANNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
3549 BROOKVIEW RD, PHILADELPHIA, PA 19154-4004
(267) 253-0168
Mailing address
3549 BROOKVIEW RD, PHILADELPHIA, PA 19154-4004
(267) 253-0168

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP027672
PA

Other

Enumeration date
08/21/2023
Last updated
08/21/2023
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