Fantry, Lori E

Fantry, Lori E is an individual health care provider with primary practice located at 1501 N Campbell Ave , Tucson AZ 85724-1544. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Fantry, Lori E can be contacted via phone (410) 328-9105.

Contact Information

Primary practice address
1501 N Campbell Ave Tucson AZ 85724-1544
Phone: (410) 328-9105
Fax: (410) 328-4430
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 52406 Arizona

Profile Details

NPI number 1821046277
LBN Legal business name Fantry, Lori E
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
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 1821046277 NPPES
District of Columbia MEDICAID 4420540
District of Columbia Other 520948-01 & 02
District of Columbia MEDICAID 066631900

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