Porter, Lori J.

Porter, Lori J. is an individual health care provider with primary practice located at 2925 Debarr Rd Ste 230 , Anchorage AK 99508-2959. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Porter, Lori J. can be contacted via phone (907) 777-1800.

Contact Information

Primary practice address
2925 Debarr Rd Ste 230 Anchorage AK 99508-2959
Fax: (907) 278-2066
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036116966 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 121717 Alaska

Profile Details

NPI number 1114093432
LBN Legal business name Porter, Lori J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Apr 2nd, 2018 - about 7 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 1114093432 NPPES
Alaska MEDICAID 1014373

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