Provider Demographics
NPI:1992096648
Name:MONTONI, LORRAINE A (RPH)
Entity type:Individual
Prefix:MRS
First Name:LORRAINE
Middle Name:A
Last Name:MONTONI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 W CENTRE ST
Mailing Address - Street 2:
Mailing Address - City:MAHANOY CITY
Mailing Address - State:PA
Mailing Address - Zip Code:17948-2603
Mailing Address - Country:US
Mailing Address - Phone:570-773-1455
Mailing Address - Fax:570-773-6252
Practice Address - Street 1:15 W CENTRE ST
Practice Address - Street 2:
Practice Address - City:MAHANOY CITY
Practice Address - State:PA
Practice Address - Zip Code:17948-2603
Practice Address - Country:US
Practice Address - Phone:570-773-1455
Practice Address - Fax:570-773-6252
Is Sole Proprietor?:No
Enumeration Date:2011-04-28
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP028568L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist