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Individual
LORI KATAWCZIK
Active
Individual
LORI KATAWCZIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9105295
FL
363AS0400X
Surgical Physician Assistant
PA9105295
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004617300
—
FL
01
—
GA340Y
MEDICARE
FL
01
—
Y0A4V
BCBS
FL
Enumeration date
01/02/2012
Last updated
08/11/2017
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