Provider Demographics
NPI:1215207568
Name:LORRAINE G FINELLI DO & ASSOCIATES
Entity Type:Organization
Organization Name:LORRAINE G FINELLI DO & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:G
Authorized Official - Last Name:FINELLI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:215-706-4470
Mailing Address - Street 1:723 FITZWATERTOWN RD
Mailing Address - Street 2:
Mailing Address - City:WILLOW GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19090-1337
Mailing Address - Country:US
Mailing Address - Phone:215-706-4470
Mailing Address - Fax:215-706-4464
Practice Address - Street 1:723 FITZWATERTOWN RD
Practice Address - Street 2:
Practice Address - City:WILLOW GROVE
Practice Address - State:PA
Practice Address - Zip Code:19090-1337
Practice Address - Country:US
Practice Address - Phone:215-706-4470
Practice Address - Fax:215-706-4464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-04
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS-005141-L207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAC28650Medicare UPIN