LORI BONAFEDE
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1134536105- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 743 JEFFERSON AVE SUITE 203, SCRANTON, PA, 185101635
- Phone
- (570) 344-9997
- Fax
- (570) 344-3158
Specialties & Taxonomies
Nurse Practitioner, Family
Primary License: PA #SP013243