Polacek, Lori G
Polacek, Lori G is an sole proprietor health care provider with primary practice located at 1524 Atwood Ave Suite 343, Johnston RI 02919. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as her primary health care specialty. Polacek, Lori G can be contacted via phone (401) 331-0202.Contact Information
Primary practice address
1524 Atwood Ave Suite 343
Johnston RI 02919
Phone: (401) 331-0202
Fax: (401) 421-3353
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | RI8046 | Rhode Island |
Profile Details
| NPI number | 1841392636 |
|---|---|
| LBN Legal business name | Polacek, Lori G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 2nd, 2006 |
| Last updated | Jul 8th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841392636 | NPPES |
| Rhode Island | MEDICAID | 9020105 |
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