Provider Demographics
NPI:1114610383
Name:HARTER, LORI A (DENTAL HYGENIST)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:A
Last Name:HARTER
Suffix:
Gender:F
Credentials:DENTAL HYGENIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3046 EISENHOWER DR
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18067-1076
Mailing Address - Country:US
Mailing Address - Phone:484-553-9674
Mailing Address - Fax:
Practice Address - Street 1:101 N 6TH ST STE 310
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18101-1403
Practice Address - Country:US
Practice Address - Phone:484-224-0777
Practice Address - Fax:610-969-2432
Is Sole Proprietor?:No
Enumeration Date:2023-06-01
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPHDH0008481223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health