Provider Demographics
NPI:1740216290
Name:LORDEN, FRANZISKA M (PA)
Entity Type:Individual
Prefix:
First Name:FRANZISKA
Middle Name:M
Last Name:LORDEN
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 SCOTT ADAM RD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:HUNT VALLEY
Mailing Address - State:MD
Mailing Address - Zip Code:21030-3216
Mailing Address - Country:US
Mailing Address - Phone:410-666-3960
Mailing Address - Fax:410-666-3981
Practice Address - Street 1:54 SCOTT ADAM RD
Practice Address - Street 2:SUITE 301
Practice Address - City:HUNT VALLEY
Practice Address - State:MD
Practice Address - Zip Code:21030-3216
Practice Address - Country:US
Practice Address - Phone:410-666-3960
Practice Address - Fax:410-666-3981
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2014-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC0002069363A00000X, 363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
S86928Medicare UPIN
293L / A763Medicare ID - Type Unspecified