Individual provider Active NPI

Lori A Delozier, PA-C

  • Medical Physician Assistant
  • Paoli, PA
National Provider Identifier
1366533523
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA002791L Issued in PA
Practice address
4 Industrial Blvd Ste 180
Paoli, PA 19301
Phone
(484) 320-7700
Fax
(610) 296-3876
NPI assigned
Sep 27, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA002791L PA Primary

Addresses

Primary practice location

4 Industrial Blvd Ste 180
Paoli, PA 19301

Mailing address

140 W Germantown Pike
Ste 250
Plymouth Meeting, PA 19462-1421
Phone (484) 530-0205

Other practice location 1

690 Good Dr Fl 2
Lancaster, PA 17601-2433
Phone (717) 544-0700

Other practice location 2

245 S Bryn Mawr Ave
Bryn Mawr, PA 19010-2221
Phone (610) 525-2515

Other identifiers 1

IdentifierTypeStateIssuer
1031508460001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040804001583 PA Practitioner - Physician Assistant 5496726119 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physician Services, PC CurrentSince Dec 3, 2018 Accepting new patients
Alliance Physician Services, PC CurrentSince Dec 3, 2018 Accepting new patients
Lancaster Hma Physician Management, LLC CurrentSince Jul 1, 2009 Accepting new patients
Alliance Physician Services, PC Past Accepting new patients

Locations

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

245 S Bryn Mawr Ave
Bryn Mawr, PA 19010
Phone (610) 525-2515

211 S Gulph Rd
Ste 200
Kng of Prussa, PA 19406
Phone (610) 382-5910

1875 Lititz Pike
Lancaster, PA 17601
Phone (717) 560-9002

233 College Ave
Ste 203
Lancaster, PA 17603
Phone (717) 396-9167

1500 Highlands Dr
Lititz, PA 17543
Phone (717) 625-5000

4 Industrial Blvd
Ste 180
Paoli, PA 19301
Phone (484) 320-7700

140 W Germantown Pike
Ste 250
Plymouth Meeting, PA 19462
Phone (484) 530-0205

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1366533523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W GERMANTOWN PIKE",
            "address_2": "STE 250",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621421",
            "telephone_number": "484-530-0205",
            "fax_number": "484-530-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 INDUSTRIAL BLVD STE 180",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "19301",
            "telephone_number": "484-320-7700",
            "fax_number": "610-296-3876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "690 Good Dr Fl 2",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176012433",
            "country_code": "US",
            "telephone_number": "717-544-0700",
            "fax_number": "717-544-0739",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "245 S Bryn Mawr Ave",
            "address_purpose": "LOCATION",
            "city": "Bryn Mawr",
            "state": "PA",
            "postal_code": "190102221",
            "country_code": "US",
            "telephone_number": "610-525-2515",
            "fax_number": "610-527-6586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELOZIER",
        "first_name": "LORI",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2022-07-21",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA002791L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031508460001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

Verify at the official NPI Registry.