Provider Demographics
NPI:1669641916
Name:TELEPO, LORRAINA JEAN (MRP)
Entity Type:Individual
Prefix:PROF
First Name:LORRAINA
Middle Name:JEAN
Last Name:TELEPO
Suffix:
Gender:F
Credentials:MRP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 9TH ST
Mailing Address - Street 2:HOSTED BY MCCANN SCHOOL OF BUSINESS AND TECHNOLOGY
Mailing Address - City:WEST EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18042-5418
Mailing Address - Country:US
Mailing Address - Phone:267-424-4549
Mailing Address - Fax:610-438-0196
Practice Address - Street 1:2200 N IRVING ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18109-9601
Practice Address - Country:US
Practice Address - Phone:267-424-4549
Practice Address - Fax:610-438-0196
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-20
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA4537174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist