Provider Demographics
NPI:1437610359
Name:BORJA, LORI (RN, MS, CNS)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:BORJA
Suffix:
Gender:F
Credentials:RN, MS, CNS
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:
Other - Last Name:BORJA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LORI BIRD
Mailing Address - Street 1:3933 PERKIOMEN AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19606-2754
Mailing Address - Country:US
Mailing Address - Phone:484-769-6866
Mailing Address - Fax:
Practice Address - Street 1:3933 PERKIOMEN AVE STE 104
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19606-2754
Practice Address - Country:US
Practice Address - Phone:484-769-6866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-26
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist