Healthcare Provider Details

I. General information

NPI: 1972803344
Provider Name (Legal Business Name): LORI KROPFELDER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2010
Last Update Date: 06/06/2022
Certification Date: 06/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5963 EXCHANGE DR STE 100
ELDERSBURG MD
21784-9256
US

IV. Provider business mailing address

5963 EXCHANGE DR STE 100
ELDERSBURG MD
21784-9256
US

V. Phone/Fax

Practice location:
  • Phone: 410-549-0900
  • Fax:
Mailing address:
  • Phone: 410-549-0900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberR132352
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: