Individual
LORI HEATHER BODENHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
130 S BRYN MAWR AVE, BRYN MAWR, PA 19010
(484) 337-3770
Mailing address
1432 SOUTHWIND WAY, DRESHER, PA 19025-1026
(202) 422-5924
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
PA
Other
Enumeration date
06/26/2008
Last updated
07/31/2018
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