Provider Demographics
NPI:1891786992
Name:O'FARRELL-RODRIGUEZ, LORNA M (EMT-P)
Entity Type:Individual
Prefix:
First Name:LORNA
Middle Name:M
Last Name:O'FARRELL-RODRIGUEZ
Suffix:
Gender:F
Credentials:EMT-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9685 STONY HOLLOW CIR
Mailing Address - Street 2:
Mailing Address - City:TOBYHANNA
Mailing Address - State:PA
Mailing Address - Zip Code:18466-3865
Mailing Address - Country:US
Mailing Address - Phone:570-894-5425
Mailing Address - Fax:570-894-5425
Practice Address - Street 1:9685 STONY HOLLOW CIR
Practice Address - Street 2:
Practice Address - City:TOBYHANNA
Practice Address - State:PA
Practice Address - Zip Code:18466-3865
Practice Address - Country:US
Practice Address - Phone:570-894-5425
Practice Address - Fax:570-894-5425
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030768146L00000X
PA116838146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic