Provider Demographics
NPI:1942607007
Name:HEIL, LORI
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:HEIL
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 1:6200 BROOKTREE RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090
Mailing Address - Country:US
Mailing Address - Phone:724-933-6222
Mailing Address - Fax:724-933-6225
Practice Address - Street 1:6200 BROOKTREE RD
Practice Address - Street 2:SUITE 220
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-9299
Practice Address - Country:US
Practice Address - Phone:724-933-6222
Practice Address - Fax:724-933-6225
Is Sole Proprietor?:No
Enumeration Date:2014-12-04
Last Update Date:2014-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula