Provider Demographics
NPI:1215050216
Name:ROMANO-JANA, LOURDES (MD)
Entity type:Individual
Prefix:DR
First Name:LOURDES
Middle Name:
Last Name:ROMANO-JANA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4607 HIGHVIEW BLVD
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16509-2220
Mailing Address - Country:US
Mailing Address - Phone:814-456-6258
Mailing Address - Fax:814-456-6258
Practice Address - Street 1:2931 PEACH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16508-1842
Practice Address - Country:US
Practice Address - Phone:814-456-6258
Practice Address - Fax:814-456-6258
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD026989-E207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAB41675Medicare UPIN