Provider Demographics
NPI:1063681518
Name:DREIER, JEANNE LAUREN (DO)
Entity Type:Individual
Prefix:DR
First Name:JEANNE
Middle Name:LAUREN
Last Name:DREIER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:45 DORCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:PA
Mailing Address - Zip Code:18612-1401
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1130 HIGHWAY 315 BLVD
Practice Address - Street 2:RENAL CONSULTANTS
Practice Address - City:WILKES BARRE
Practice Address - State:PA
Practice Address - Zip Code:18702-6952
Practice Address - Country:US
Practice Address - Phone:570-823-8896
Practice Address - Fax:570-823-1291
Is Sole Proprietor?:No
Enumeration Date:2008-02-28
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS016321207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology