| Lori A Delozier, PA-C | |
|
4 Industrial Blvd Ste 180, Paoli, PA 19301 | |
| (484) 320-7700 | |
| (610) 296-3876 |
| Full Name | Lori A Delozier |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 4 Industrial Blvd Ste 180, Paoli, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366533523 | NPI | - | NPPES |
| 1031508460001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | MA002791L (Pennsylvania) | Primary |
| Entity Name | The Centers for Advanced Urology LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952829350 PECOS PAC ID: 3274800941 Enrollment ID: O20170531000529 |
| Mailing Address | Practice Location Address |
|---|---|
| Lori A Delozier, PA-C 140 W Germantown Pike, Ste 250, Plymouth Meeting, PA 19462-1421 Ph: (484) 530-0205 | Lori A Delozier, PA-C 4 Industrial Blvd Ste 180, Paoli, PA 19301 Ph: (484) 320-7700 |
Emily Jane Damico, Physician Assistant Medicare: Medicare Enrolled Practice Location: 255 W Lancaster Ave, Paoli, PA 19301 Phone: 215-429-1003 |
Nicole Elizabeth Francis, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4 Industrial Blvd Ste 165, Paoli, PA 19301 Phone: 610-359-5640 Fax: 833-941-3871 |
Ashley Diane Zudans, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 255 W Lancaster Ave Ste 201, Paoli, PA 19301 Phone: 484-476-1000 Fax: 484-476-9000 |
Kathleen M Canfield, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11 Industrial Blvd., Ste 204, Paoli Pointe Med. Office Bldg, Paoli, PA 19301 Phone: 610-644-6251 Fax: 610-644-1440 |
Amanda Whitlock, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 255 W Lancaster Ave, Suite 331, Mob3, Paoli, PA 19301 Phone: 484-527-2232 |
Marissa Pena, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 255 West Lancaster Avenue, Medical Office Building 3, Suite 237, Paoli, PA 19301 Phone: 484-565-8080 |
Ms. Shelby Catherine Hufnal, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 255 W Lancaster Ave, Paoli, PA 19301 Phone: 484-565-1048 Fax: 484-565-2044 |