Basic Information
| Provider Information | |||||||||
| NPI: | 1942359047 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HARING | ||||||||
| FirstName: | LORI | ||||||||
| MiddleName: | D'GINTO | ||||||||
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| Credential: | PT, MS, NCS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 35 E UWCHLAN AVE | ||||||||
| Address2: | SUITE 330 | ||||||||
| City: | EXTON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 193411259 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6105942060 | ||||||||
| FaxNumber: | 6105942056 | ||||||||
| Practice Location | |||||||||
| Address1: | 623 W UNION BLVD | ||||||||
| Address2: | SUITE 4 | ||||||||
| City: | BETHLEHEM | ||||||||
| State: | PA | ||||||||
| PostalCode: | 180183708 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4845507735 | ||||||||
| FaxNumber: | 6108680204 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/09/2007 | ||||||||
| LastUpdateDate: | 07/13/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PT008033L,DAPT000442 | PA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
ID Information
| ID | Type | State | Issuer | Description | 50066303 | 01 | PA | CAPITAL BLUE CROSS | OTHER | 001650937 | 01 | PA | HIGHMARK BLUE SHIELD | OTHER | 0007004929 | 01 | PA | AETNA | OTHER | 2327733000 | 01 | PA | KEYSTONE EAST,AMERIHEALTH | OTHER |