Basic Information
| Provider Information | |||||||||
| NPI: | 1912164260 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ABELS | ||||||||
| FirstName: | LORI | ||||||||
| MiddleName: | HERMAN | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.O. | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | HERMAN | ||||||||
| OtherFirstName: | LORK | ||||||||
| OtherMiddleName: | JILL | ||||||||
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| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 1803 MOUNT ROSE AVE | ||||||||
| Address2: | SUITE B3 | ||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 174033026 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7178511405 | ||||||||
| FaxNumber: | 7178123049 | ||||||||
| Practice Location | |||||||||
| Address1: | 2339 S GEORGE ST | ||||||||
| Address2: | |||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 174035009 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7178123040 | ||||||||
| FaxNumber: | 7178123049 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/22/2008 | ||||||||
| LastUpdateDate: | 06/09/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | OS014806 | PA | Y | Allopathic & Osteopathic Physicians | Pediatrics |
ID Information
| ID | Type | State | Issuer | Description | 30080147 | 01 | PA | AMERIHEALTH MERCY-WMG | OTHER | 965433 | 01 | MD | CAREFIRST MD BCBS | OTHER | P010305 | 01 | PA | GATEWAY-WMG | OTHER | 1023392000002 | 05 | PA | MEDICAID | 415262 | 01 | PA | UPMC-WMG | OTHER | 2122283 | 01 | PA | HIGHMARK BLUE SHIELD-WMG | OTHER | 30076508 | 01 | PA | AMERIHEALTH MERCY-WMG | OTHER | 301498 | 01 | PA | UNISION-WMG | OTHER |