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Lorileen C Bautista
Pediatric Nurse Practitioner in Willow Grove, Pennsylvania
NPI 1942536909

Lorileen C Bautista is a Pediatric Nurse Practitioner based in Voorhees, PA and is specialized in Pediatrics. Lorileen C Bautista practices in Willow Grove, PA. The NPI Number for Lorileen C Bautista is 1942536909 and holds a License No. VP005422D (Pennsylvania).

The current practice location address for Lorileen C Bautista is 2701 Blair Mill Rd, Willow Grove, PA and can be reached out via phone at 856-751-7880.

Location: 2701 Blair Mill Rd, Willow Grove, PA, 08043-9623
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942536909
Provider Name
Lorileen C Bautista
Credential
Provider Entity Type
Individual
Gender
Female
Address
2701 Blair Mill Rd, Willow Grove, PA, 08043-9623
Phone Number
856-751-7880
Fax Number
Provider Enumeration Date
10/27/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2701 Blair Mill Rd
City
Willow Grove
State
Pennsylvania
Zip
19090-1041
Phone Number
856-751-7880
Fax Number
person
Provider Business Mailing Address Details
Address
2701 Blair Mill Rd
City
Willow Grove
State
Pennsylvania
Zip
19090-1041
Phone Number
856-751-7880
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
VP005422D (Pennsylvania)
Definition
Definition to come...
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