Active NPI
Lori Clements, LDN
- Family Medicine Physician
- Philadelphia, PA
National Provider Identifier
1659514610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DN004127
- Practice address
- 1700 N Broad St
Philadelphia, PA 19121 - Phone
- (215) 204-2679
- Fax
- (215) 204-1784
- NPI assigned
- Apr 7, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DN004127 | PA | Primary |
Addresses
Primary practice location
1700 N Broad St
Philadelphia, PA 19121
Mailing address
2450 W Hunting Park Ave
Philadelphia, PA 19129-1302
Phone (215) 204-2679
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN004127 | PA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529280000000",
"number": "1659514610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 W HUNTING PARK AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191291302",
"telephone_number": "215-204-2679",
"fax_number": "215-204-1784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19121",
"telephone_number": "215-204-2679",
"fax_number": "215-204-1784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMENTS",
"first_name": "LORI",
"credential": "LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-07",
"last_updated": "2018-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "DN004127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.