Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD058362L | PA |
N | 208000000X | Pediatrician | OS0066587L | PA |
N | 208000000X | Pediatrician | SP017821 | PA |
N | 363LF0000X | Nurse Practitioner - Family Medicine | SP021105 | PA |
Y | 363LW0102X | Nurse Practitioner - Women's Health | SP017821 | PA |
NPI | 1083132393 |
---|---|
Provider Name | Lora Steffie |
First Address | Emmaus, PA 18049-2401 |
Second Address | University Park, PA 16802 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2017 |
Last Update Date | 10/11/2021 |