Provider Demographics
NPI:1659546133
Name:GEIER, LORI A (CRNP)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:A
Last Name:GEIER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1381
Mailing Address - Street 2:
Mailing Address - City:BROOKLANDVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21022-1381
Mailing Address - Country:US
Mailing Address - Phone:443-388-1772
Mailing Address - Fax:571-527-1982
Practice Address - Street 1:11702 FALLS RD
Practice Address - Street 2:
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-1612
Practice Address - Country:US
Practice Address - Phone:443-388-1772
Practice Address - Fax:571-527-1982
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-25
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR086388163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDR086388OtherNURSES LICENSE - MARYLAND BOARD OF NURSING
MD414590900Medicaid