Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0202X | Pediatric Cardiologist | 200200252 | NC |
Y | 2080P0202X | Pediatric Cardiologist | MD444577 | PA |
NPI | 1245223312 |
---|---|
Provider Name | Dr. Karen J Lurito |
First Address | Danville, PA 17822-4903 |
Second Address | Forty Fort, PA 18704-4968 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2005 |
Last Update Date | 11/08/2020 |