Individual
MISS LORI GRACE SPOTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
34TH ST & CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4399
(215) 590-3083
Mailing address
3931 DAYSTAR DR, DOYLESTOWN, PA 18902-1254
(973) 722-2035
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
SP012607
PA
Other
Enumeration date
12/06/2012
Last updated
06/11/2016
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