Jardines, Lori

Jardines, Lori is an individual health care provider with primary practice located at 5501 Old York Rd Ground Floor, Philadelphia PA 19141-3018. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Jardines, Lori can be contacted via phone (215) 254-2730.

Contact Information

Primary practice address
5501 Old York Rd Ground Floor Philadelphia PA 19141-3018
Phone: (215) 254-2730
Fax: (215) 254-2735
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD044651E Pennsylvania
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X MD044651E Pennsylvania

Profile Details

NPI number 1932210408
LBN Legal business name Jardines, Lori
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Sep 25th, 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 1932210408 NPPES
Pennsylvania MEDICAID 01240880

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