1073677688 NPI number — DR. LORA SWARTZEL REGAN MD, MPH

Table of content: DR. LORA SWARTZEL REGAN MD, MPH (NPI 1073677688)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073677688 NPI number — DR. LORA SWARTZEL REGAN MD, MPH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
REGAN
Provider First Name:
LORA
Provider Middle Name:
SWARTZEL
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD, MPH
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1073677688
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/02/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2110 HARRISBURG PIKE - SUITE 21
Provider Second Line Business Mailing Address:
LANCASTER GENERAL HEALTH
Provider Business Mailing Address City Name:
LANCASTER
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17604-3200
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
717-544-3161
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1090 HORSHAM RD
Provider Second Line Business Practice Location Address:
TEVA PHARMA HEALTH & WELLNESS
Provider Business Practice Location Address City Name:
NORTH WALES
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19454-1505
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-591-8679
Provider Business Practice Location Address Fax Number:
215-591-8829
Provider Enumeration Date:
12/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  MD050971L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2083P0500X , with the licence number: MD050971-L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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