Provider Demographics
NPI:1518683523
Name:ORNER, LORI BETH
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:BETH
Last Name:ORNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4331 ROUTE 646
Mailing Address - Street 2:PO BOX 287
Mailing Address - City:CYCLONE
Mailing Address - State:PA
Mailing Address - Zip Code:16726
Mailing Address - Country:US
Mailing Address - Phone:814-331-2386
Mailing Address - Fax:
Practice Address - Street 1:4331 ROUTE 646
Practice Address - Street 2:
Practice Address - City:CYCLONE
Practice Address - State:PA
Practice Address - Zip Code:16726-1006
Practice Address - Country:US
Practice Address - Phone:814-331-2386
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-12
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator