Provider Demographics
NPI:1265839567
Name:YATES, LOREN PUGLIESI (MS, CGC, LGC-NJ, PA)
Entity Type:Individual
Prefix:
First Name:LOREN
Middle Name:PUGLIESI
Last Name:YATES
Suffix:
Gender:F
Credentials:MS, CGC, LGC-NJ, PA
Other - Prefix:
Other - First Name:LOREN
Other - Middle Name:
Other - Last Name:PUGLIESI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CGC, LGC-NJ
Mailing Address - Street 1:595 W STATE ST STE 307
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2597
Mailing Address - Country:US
Mailing Address - Phone:267-885-1864
Mailing Address - Fax:215-489-7233
Practice Address - Street 1:595 W STATE ST STE 307
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2597
Practice Address - Country:US
Practice Address - Phone:267-885-1864
Practice Address - Fax:215-489-7233
Is Sole Proprietor?:No
Enumeration Date:2014-12-02
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MJ00008200170300000X
PAGC000236170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS