Driscoll, Lori

Driscoll, Lori is an individual health care provider with primary practice located at 13421 S Shore Blvd Ste 101 , Wellington FL 33414-7210. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Driscoll, Lori can be contacted via phone (561) 440-1616.

Contact Information

Primary practice address
13421 S Shore Blvd Ste 101 Wellington FL 33414-7210
Phone: (561) 440-1616
Fax: (561) 440-2030
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9100942 Florida

Profile Details

NPI number 1780739128
LBN Legal business name Driscoll, Lori
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780739128 NPPES
Florida MEDICAID 006300800

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