Healthcare Provider Details

I. General information

NPI: 1659546133
Provider Name (Legal Business Name): LORI A GEIER CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/25/2008
Last Update Date: 04/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11702 FALLS RD
TIMONIUM MD
21093-1612
US

IV. Provider business mailing address

PO BOX 1381
BROOKLANDVILLE MD
21022-1381
US

V. Phone/Fax

Practice location:
  • Phone: 443-388-1772
  • Fax: 571-527-1982
Mailing address:
  • Phone: 443-388-1772
  • Fax: 571-527-1982

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberR086388
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: