Provider Demographics
NPI:1083793038
Name:HERRING, CHRISTINA LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:LEE
Last Name:HERRING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1030 E LANCASTER AVE APT L6
Mailing Address - Street 2:
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-1459
Mailing Address - Country:US
Mailing Address - Phone:610-525-1113
Mailing Address - Fax:610-525-2498
Practice Address - Street 1:1030 E LANCASTER AVE APT L6
Practice Address - Street 2:
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-1459
Practice Address - Country:US
Practice Address - Phone:610-525-1113
Practice Address - Fax:610-525-2498
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-020039E2084P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA013092Medicare PIN
PAC26748Medicare UPIN