Individual
LORI DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2630 HOLME AVE STE 101, PHILADELPHIA, PA 19152-3004
(215) 330-3330
(215) 330-9859
Mailing address
41 UNIVERSITY DR STE 106, NEWTOWN, PA 18940-1873
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP009324
PA
363LA2200X
Adult Health Nurse Practitioner
Primary
SP009324
PA
Other
Enumeration date
04/02/2007
Last updated
05/25/2021
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