Provider Demographics
NPI:1942403332
Name:KLEIMAN, LORI LEIGH (PA-C)
Entity Type:Individual
Prefix:MS
First Name:LORI
Middle Name:LEIGH
Last Name:KLEIMAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:LORI
Other - Middle Name:LEIGH
Other - Last Name:FRANTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:620 STANTON CHRISTIANA RD STE 202
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2130
Mailing Address - Country:US
Mailing Address - Phone:302-384-7439
Mailing Address - Fax:302-384-7443
Practice Address - Street 1:620 STANTON CHRISTIANA RD STE 202
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2130
Practice Address - Country:US
Practice Address - Phone:302-384-7439
Practice Address - Fax:302-384-7443
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-06
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC5-0000876363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical