Provider Demographics
NPI:1134412448
Name:ZORC, LORI CULLEN (EDD, CRNP, ANP-BC)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:CULLEN
Last Name:ZORC
Suffix:
Gender:F
Credentials:EDD, CRNP, ANP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8608 COUNTRY CLUB DR
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-4578
Mailing Address - Country:US
Mailing Address - Phone:301-365-9485
Mailing Address - Fax:301-365-9486
Practice Address - Street 1:5530 WISCONSIN AVE
Practice Address - Street 2:SUITE 1455
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-4404
Practice Address - Country:US
Practice Address - Phone:301-656-9010
Practice Address - Fax:301-656-9011
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-19
Last Update Date:2011-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR177130363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health