Active NPIIndividual provider

Lori A Depersia, MD

Radiology, Diagnostic Radiology in Meadowbrook, Pennsylvania

NPI Number1295727352
Practice location
1648 Huntingdon Pike, Radiology Department, Meadowbrook, PA 19046-8001
Fax
215-938-3474
Last updated
June 18, 2012

Lori A Depersia is a Radiology, Diagnostic Radiology based in Meadowbrook, PA. Lori A Depersia practices in Meadowbrook, PA and has the professional credentials of MD. The NPI Number for Lori A Depersia is 1295727352 and holds a License No. MD029084E (PA). The current practice location address for Lori A Depersia is 1648 Huntingdon Pike, Radiology Department, Meadowbrook, PA 19046-8001 and can be reached out via phone at 215-938-3467 and via fax at 215-938-3474.

Provider Profile Details

NPI Number
1295727352
Provider Name
Lori A Depersia
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1648 Huntingdon Pike, Radiology Department, Meadowbrook, PA 19046-8001
Phone Number
215-938-3467
Fax Number
215-938-3474
Primary Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X
Sole Proprietor
No
Provider Enumeration Date
August 16, 2005
Last Update Date
June 18, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
1648 Huntingdon Pike
Radiology Department
Meadowbrook, PA 19046-8001
Zip
19046-8001
Phone Number
215-938-3467
Fax Number
215-938-3474
Meadowbrook, PA 19046Get directions →

Provider Business Mailing Address Details

Address
1001 Briggs RD
Suite 210
Mount Laurel, NJ 08054-4100
City
Mount Laurel
State
NJ
Zip
08054-4100
Phone Number
856-231-4774
Fax Number
856-231-9699

License Information

License Number (1)
MD029084E
License State (1)
PA
Taxonomy (1)
Radiology, Diagnostic Radiology · 2085R0202X · Primary
License Number (2)
MD029084E
License State (2)
PA
Taxonomy (2)
· 2085N0700X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lori A Depersia, MD?

The NPI number of Lori A Depersia, MD is 1295727352. It was assigned on August 16, 2005 and is currently active in the NPPES registry.

What is the specialty of Lori A Depersia, MD?

Lori A Depersia, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in PA under license number MD029084E.

Where does Lori A Depersia, MD practice?

The practice location is 1648 Huntingdon Pike, Radiology Department, Meadowbrook, PA 19046-8001. The office can be reached at 215-938-3467 (phone) or 215-938-3474 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295727352 directly on the NPPES registry website.

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