Provider Demographics
NPI:1942359047
Name:HARING, LORI D'GINTO (PT, MS, NCS)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:D'GINTO
Last Name:HARING
Suffix:
Gender:F
Credentials:PT, MS, NCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:35 E UWCHLAN AVE
Mailing Address - Street 2:SUITE 330
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-1259
Mailing Address - Country:US
Mailing Address - Phone:610-594-2060
Mailing Address - Fax:610-594-2056
Practice Address - Street 1:623 W UNION BLVD
Practice Address - Street 2:SUITE 4
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-3708
Practice Address - Country:US
Practice Address - Phone:484-550-7735
Practice Address - Fax:610-868-0204
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT008033L,DAPT000442225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50066303OtherCAPITAL BLUE CROSS
PA001650937OtherHIGHMARK BLUE SHIELD
PA0007004929OtherAETNA
PA2327733000OtherKEYSTONE EAST,AMERIHEALTH
PA001650937OtherHIGHMARK BLUE SHIELD
PA2327733000OtherKEYSTONE EAST,AMERIHEALTH