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NPI Code Detail

MEDICARE: LOREN PUGLIESI YATES MS, CGC, LGC-NJ, PA

MEDICARE: LOREN PUGLIESI YATES MS, CGC, LGC-NJ, PA
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
1170300000XGenetic Counselor (M.S.)25MJ00008200NJ
2170300000XGenetic Counselor (M.S.)GC000236PA

General Provider Information

NPI Number : 1265839567
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOREN PUGLIESI YATES MS, CGC, LGC-NJ, PA
Provider Business Mailing Address
First Line : 595 W STATE ST STE 307
Second Line :
City : DOYLESTOWN
State : PA
Zip : 18901-2597
Country : US
Telephone Number : 267-885-1864
Fax Number : 215-489-7233
Provider Business Practice Location Address
First Line : 595 W STATE ST STE 307
Second Line :
City : DOYLESTOWN
State : PA
Zip : 18901-2597
Country : US
Telephone Number : 267-885-1864
Fax Number : 215-489-7233
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2014
Last Update Date : 01/08/2019

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