MEDICARE: DR. LORI LYNN DEAN MD

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	208100000X	Physical Medicine & Rehabilitation Physician	MD425811	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295733368
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LORI LYNN DEAN MD

Provider Business Mailing Address
First Line	:	1500 5TH AVE
Second Line	:
City	:	MCKEESPORT
State	:	PA
Zip	:	15132-2422
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 5TH AVE
Second Line	:
City	:	MCKEESPORT
State	:	PA
Zip	:	15132-2422
Country	:	US
Telephone Number	:	412-664-2244
Fax Number	:

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

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	10/10/2011

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