MEDICARE: LORI ZIEMBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RP042548L	PA

General Provider Information

NPI Number	:	1326649070
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORI ZIEMBA

Provider Business Mailing Address
First Line	:	4001 NEW FALLS RD
Second Line	:
City	:	LEVITTOWN
State	:	PA
Zip	:	19056-3016
Country	:	US
Telephone Number	:	215-946-2857
Fax Number	:	215-547-3246

Provider Business Practice Location Address
First Line	:	4001 NEW FALLS RD
Second Line	:
City	:	LEVITTOWN
State	:	PA
Zip	:	19056-3016
Country	:	US
Telephone Number	:	215-946-2857
Fax Number	:	215-547-3246

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2020
Last Update Date	:	11/07/2020

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Directions to “ LORI ZIEMBA ” Practice Location

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