Lori M. Matczak, RN
Registered Nurse in Philadelphia, PA. Individual provider (NPI-1).
NPI number1497977151
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1497977151
- Entity type
- Individual (NPI-1)
- Name
- Ms. Lori M. Matczak
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 3, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | RN261173L | PA | Yes |
Practice location
3975 Conshohocken AvePhiladelphia, PA 19131-5426
Phone 215-879-1000 · Fax 215-879-3912
Mailing address
843 Rising Sun RdTelford, PA 18969-2125
Phone 215-368-7000
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