MEDICARE: FRANZISKA M LORDEN 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
1	363A00000X	Physician Assistant	C0002069	MD
2	363AS0400X	Surgical Physician Assistant	C0002069	MD

General Provider Information

NPI Number	:	1740216290
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANZISKA M LORDEN PA

Provider Business Mailing Address
First Line	:	54 SCOTT ADAM RD
Second Line	:	SUITE 301
City	:	HUNT VALLEY
State	:	MD
Zip	:	21030-3216
Country	:	US
Telephone Number	:	410-666-3960
Fax Number	:	410-666-3981

Provider Business Practice Location Address
First Line	:	54 SCOTT ADAM RD
Second Line	:	SUITE 301
City	:	HUNT VALLEY
State	:	MD
Zip	:	21030-3216
Country	:	US
Telephone Number	:	410-666-3960
Fax Number	:	410-666-3981

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

Provider Enumeration Date	:	06/25/2006
Last Update Date	:	09/17/2014

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Directions to “ FRANZISKA M LORDEN PA” Practice Location

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