Provider Demographics
NPI:1720367030
Name:DURIGAN, LORA MARIA (RPH)
Entity Type:Individual
Prefix:MS
First Name:LORA
Middle Name:MARIA
Last Name:DURIGAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3380 ROCKY LN
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045-3110
Mailing Address - Country:US
Mailing Address - Phone:610-515-1686
Mailing Address - Fax:
Practice Address - Street 1:3380 ROCKY LN
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-3110
Practice Address - Country:US
Practice Address - Phone:610-515-1686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-04
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP035411L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist