Individual
LORRIE DILUCENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
527 MEDICAL PARK DR STE 402, BRIDGEPORT, WV 26330-9010
(681) 342-3690
(681) 342-3695
Mailing address
527 MEDICAL PARK DR STE 402, BRIDGEPORT, WV 26330-9010
(681) 342-3690
(681) 342-3695
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
97129
WV
363LA2100X
Acute Care Nurse Practitioner
VP004293M
PA
Other
Enumeration date
11/06/2006
Last updated
03/17/2018
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