Provider Demographics
NPI:1871606053
Name:LORMAN, WILLIAM JOHN (NP)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:JOHN
Last Name:LORMAN
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2513 SHARON CT
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-2213
Mailing Address - Country:US
Mailing Address - Phone:215-752-4532
Mailing Address - Fax:215-638-2603
Practice Address - Street 1:4833 HULMEVILLE RD
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-3023
Practice Address - Country:US
Practice Address - Phone:215-638-5233
Practice Address - Fax:215-638-2603
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAUP006013L363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01976586Medicaid
028924Medicare ID - Type Unspecified
PA01976586Medicaid