Healthcare Provider Details

I. General information

NPI: 1760458111
Provider Name (Legal Business Name): LORI S IORIATTI CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2006
Last Update Date: 09/04/2020
Certification Date: 09/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 SAND HILL RD STE 102
FLEMINGTON NJ
08822-4946
US

IV. Provider business mailing address

150 NEW PROVIDENCE RD
MOUNTAINSIDE NJ
07092-2590
US

V. Phone/Fax

Practice location:
  • Phone: 908-782-6700
  • Fax:
Mailing address:
  • Phone: 908-233-3720
  • Fax: 908-301-5456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number26NJ00013400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: