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NPI Code Detail

MEDICARE: LORI BONELLO CRNA

MEDICARE:   LORI  BONELLO  CRNA
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
1367500000XCertified Registered Nurse AnesthetistR132865MD
2367500000XCertified Registered Nurse AnesthetistRN288168LPA

Other Identifiers

General Provider Information

NPI Number : 1588628523
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORI BONELLO CRNA
Provider Business Mailing Address
First Line : 601 MEMORY LN
Second Line :
City : YORK
State : PA
Zip : 17402-2231
Country : US
Telephone Number : 717-851-1405
Fax Number :
Provider Business Practice Location Address
First Line : 25 MONUMENT RD STE 270
Second Line :
City : YORK
State : PA
Zip : 17403-5073
Country : US
Telephone Number : 717-741-8250
Fax Number : 717-741-8289
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2006
Last Update Date : 03/17/2025

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Directions to “ LORI BONELLO CRNA” Practice Location

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