Proctor, Lori Marie

Proctor, Lori Marie is an sole proprietor health care provider with primary practice located at 3885 Mechanicsville Rd , Whitehall PA 18052-3321. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Suppliers / Durable Medical Equipment & Medical Supplies. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Proctor, Lori Marie can be contacted via phone (610) 437-9343.

Contact Information

Primary practice address
3885 Mechanicsville Rd Whitehall PA 18052-3321
Phone: (610) 437-9343
Fax: (610) 437-5997
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC003287L Pennsylvania
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1437132628
LBN Legal business name Proctor, Lori Marie
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 22nd, 2005
Last updated Aug 10th, 2011 - about 13 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 1437132628 NPPES
Pennsylvania Other 428757 MEDICARE PTAN
Pennsylvania Other 1810101 MEDICARE PTAN
Pennsylvania Other 122132 MEDICARE PTAN
Pennsylvania MEDICAID 001133549 MEDICARE PTAN
Pennsylvania Other 1519638 MEDICARE PTAN

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