Depersia, Lori A

Depersia, Lori A is an individual health care provider with primary practice located at 1648 Huntingdon Pike Radiology Department, Meadowbrook PA 19046-8001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Depersia, Lori A can be contacted via phone (215) 938-3467.

Contact Information

Primary practice address
1648 Huntingdon Pike Radiology Department Meadowbrook PA 19046-8001
Phone: (215) 938-3467
Fax: (215) 938-3474
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD029084E Pennsylvania
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X MD029084E Pennsylvania

Profile Details

NPI number 1295727352
LBN Legal business name Depersia, Lori A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jun 18th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295727352 NPPES
Pennsylvania MEDICAID 0073256900006
Pennsylvania MEDICAID 007325269
Pennsylvania MEDICAID 2210703

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