Provider Demographics
NPI:1851439384
Name:NERI, LORI (CRNP)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:NERI
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 1:1202 S CEDAR CREST BLVD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-6202
Mailing Address - Country:US
Mailing Address - Phone:610-770-2200
Mailing Address - Fax:610-776-6645
Practice Address - Street 1:1202 S CEDAR CREST BLVD
Practice Address - Street 2:SUITE 500
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6202
Practice Address - Country:US
Practice Address - Phone:610-770-2200
Practice Address - Fax:610-776-6645
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATP006216C363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAS99991Medicare UPIN