Individual
LORI LINGENFELTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17083 RT 6, SMETHPORT, PA 16749
(814) 568-2067
Mailing address
17083 RT 6, SMETHPORT, PA 16749
(814) 568-2067
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI001852
PA
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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