Klaski, Lori A

Klaski, Lori A is an individual health care provider with primary practice located at 5859 W Talavi Blvd Suite 100, Glendale AZ 85306-1869. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Klaski, Lori A can be contacted via phone (602) 298-7777.

Contact Information

Primary practice address
5859 W Talavi Blvd Suite 100 Glendale AZ 85306-1869
Phone: (602) 298-7777
Fax: (623) 930-6060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 3620 Arizona

Profile Details

NPI number 1720286875
LBN Legal business name Klaski, Lori A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2007
Last updated Jun 21st, 2021 - 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 1720286875 NPPES
Arizona Other 3620 LICENSE
Arizona MEDICAID 234159 LICENSE

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