Most Relevant Information
Provider Data
| NPI Number: | 1003402900 |
| Provider Name: | LORREN RUSCETTA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/15/2020 |
| Last Updated: | 12/15/2020 |
Provider Practice Location
1811 BETHLEHEM PIKE
FLOURTOWN
PA
190311111
Practice Location Phone/Fax
| Phone: | 6108132575 |
| Fax: |
Provider Mailing Location
1811 BETHLEHEM PIKE
FLOURTOWN
PA
190311111
Provider Mailing Phone/Fax
| Phone: | 6108132575 |
| Fax: |