Provider Demographics
NPI:1275083370
Name:BELL, LORRAINE (DRPH, MSN, NP-C)
Entity Type:Individual
Prefix:
First Name:LORRAINE
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:DRPH, MSN, NP-C
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:
Other - Last Name:BELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DRPH, MSN, NP-C
Mailing Address - Street 1:200 ROLLING AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH EAST
Mailing Address - State:MD
Mailing Address - Zip Code:21901-6318
Mailing Address - Country:US
Mailing Address - Phone:443-206-6234
Mailing Address - Fax:
Practice Address - Street 1:300 OLD FORGE LN
Practice Address - Street 2:#302
Practice Address - City:KENNETT SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19348-1897
Practice Address - Country:US
Practice Address - Phone:484-788-8000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-12
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR065129363LF0000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PASP016954OtherPA CRNP
MDR065129OtherRN LICENSE; MBON