Wingate, Lori Jo

Wingate, Lori Jo is an individual health care provider with primary practice located at 4222 Wendover Ave 400, Odessa TX 79762-5945. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Wingate, Lori Jo can be contacted via phone (432) 367-8080.

Contact Information

Primary practice address
4222 Wendover Ave 400 Odessa TX 79762-5945
Phone: (432) 367-8080
Fax: (432) 366-8443
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 236283 Texas
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 236283 Texas

Profile Details

NPI number 1801090865
LBN Legal business name Wingate, Lori Jo
Credentials APRN-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2007
Last updated Mar 17th, 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 1801090865 NPPES
Texas Other 236283 STATE LICENSE

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