Individual provider · Type 1 NPI
Lori Heather Bodenheimer, PA-C
Medical Physician Assistant · Bryn Mawr, PA
NPI number
1801058359
Active
Practice location
130 S Bryn Mawr Ave
Bryn Mawr, PA 19010
Mailing address
1432 Southwind Way
Dresher, PA 19025-1026
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1801058359
Lori Heather Bodenheimer, PA-C's National Provider Identifier is 1801058359, issued on Jun 26, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bryn Mawr, PA. The record was last updated on Jul 31, 2018.