LORI GRODACK

JERMYN, PA
NPI1568183424
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: PA  PHDH001290)
Enumeration Date2022-09-08
Last Update Date2022-09-08
Business Address
-- LORI GRODACK PHDHP
5 S WASHINGTON AVE
JERMYN, PA 18433-1121
Phone number: 570-230-0019
Mailing Address
-- LORI GRODACK PHDHP
164 THE HIDEOUT 331 CEDARWOOD TERRACE
LAKE ARIEL, PA 18436
Phone number: 570-909-6180