Provider Demographics
NPI:1922980580
Name:DORLUS-THOMPSON, MARIE J
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:J
Last Name:DORLUS-THOMPSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:97 HOLSTEIN DR
Mailing Address - Street 2:JOSIE@MJLIFELINESERVICES.COM
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-8058
Mailing Address - Country:US
Mailing Address - Phone:443-379-3243
Mailing Address - Fax:
Practice Address - Street 1:97 HOLSTEIN DR
Practice Address - Street 2:JOSIE@MJLIFELINESERVICES.COM
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-8058
Practice Address - Country:US
Practice Address - Phone:443-379-3243
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA20069123251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care