Basic Information
| Provider Information | |||||||||
| NPI: | 1730583188 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RIPPOLE | ||||||||
| FirstName: | LORI | ||||||||
| MiddleName: | LEE | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | CRNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 25 GUYLAND ST | ||||||||
| Address2: | |||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152053935 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4124004432 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2275 SWALLOW HILL ROAD | ||||||||
| Address2: | BUILDING 2600 | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152201522 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 1412279339 | ||||||||
| FaxNumber: | 4122793398 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/14/2014 | ||||||||
| LastUpdateDate: | 03/20/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | SP008906 | PA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.