Bautista, Lorileen C
Bautista, Lorileen C is an individual health care provider with primary practice located at 2701 Blair Mill Rd , Willow Grove PA 19090-1041. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Bautista, Lorileen C can be contacted via phone (856) 751-7880.Contact Information
Primary practice address
2701 Blair Mill Rd
Willow Grove PA 19090-1041
Phone: (856) 751-7880
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | VP005422D | Pennsylvania |
Profile Details
| NPI number | 1942536909 |
|---|---|
| LBN Legal business name | Bautista, Lorileen C |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2009 |
| Last updated | Sep 9th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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