Provider Demographics
NPI:1154654721
Name:TASCI, LORI A (MSN, CRNA, NC-BC)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:A
Last Name:TASCI
Suffix:
Gender:F
Credentials:MSN, CRNA, NC-BC
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:ANN
Other - Last Name:PAULOWSKEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:1245 S CEDAR CREST BLVD STE 301
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-6258
Mailing Address - Country:US
Mailing Address - Phone:610-402-9099
Mailing Address - Fax:610-402-9029
Practice Address - Street 1:1200 S CEDAR CREST BLVD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6202
Practice Address - Country:US
Practice Address - Phone:610-402-9099
Practice Address - Fax:610-402-9029
Is Sole Proprietor?:No
Enumeration Date:2009-09-14
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN554479163W00000X
PA082998367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA9207444OtherAETNA
PA1027809410001Medicaid
PA129523OtherGEISINGER
PA2136732OtherHIGHMARK
PA50088510OtherCAPITAL ADVANTAGE
PA1586228OtherGATEWAY
PA2136732OtherFIRST PRIORITY
PA3747183000OtherIBC
PA12003543OtherCAQH
PA170662QCYMedicare PIN
PA1027809410001Medicaid