Individual
DR. LORI KAYE ROTHERMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 HOSPITAL DR, LEWISBURG, PA 17837-9350
(570) 522-2640
(570) 768-3921
Mailing address
1 HOSPITAL DR STE 306, LEWISBURG, PA 17837-9350
(570) 522-4110
(570) 768-3911
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD420910
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1491702
BLUE SHIELD
PA
05
—
19476280001
—
PA
01
—
232809429
TRICARE
PA
01
—
321845
HEALTH AMERICA
PA
01
—
50010262
CAPITAL BLUE CROSS
PA
01
—
P00011134
RAILROAD MEDICARE
PA
Enumeration date
07/20/2006
Last updated
06/10/2022
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