Moreira Vidal, Lorenna Lourhance

Moreira Vidal, Lorenna Lourhance is an individual health care provider with primary practice located at 800 Spruce St , Philadelphia PA 19107-6130. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Moreira Vidal, Lorenna Lourhance can be contacted via phone (215) 829-3201.

Contact Information

Primary practice address
800 Spruce St Philadelphia PA 19107-6130
Phone: (215) 829-3201
Fax: (215) 829-5697
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X D83861 Maryland
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X D83861 Maryland
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD469966 Pennsylvania

Profile Details

NPI number 1780022582
LBN Legal business name Moreira Vidal, Lorenna Lourhance
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2013
Last updated Nov 3rd, 2021 - about 3 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 1780022582 NPPES
District of Columbia MEDICAID 092582405
District of Columbia MEDICAID 583205500

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