Provider Demographics
NPI:1821658329
Name:SNYDER, LORI LYNN
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:LYNN
Last Name:SNYDER
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 1:26390 PINE CONE DR
Mailing Address - Street 2:
Mailing Address - City:LONG NECK
Mailing Address - State:DE
Mailing Address - Zip Code:19966-5814
Mailing Address - Country:US
Mailing Address - Phone:484-256-4480
Mailing Address - Fax:
Practice Address - Street 1:26390 PINE CONE DR
Practice Address - Street 2:
Practice Address - City:LONG NECK
Practice Address - State:DE
Practice Address - Zip Code:19966-5814
Practice Address - Country:US
Practice Address - Phone:484-256-4480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-17
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL10048180163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management