Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
LORI ANN KOCUR-WILDE
Active
Individual
LORI ANN KOCUR-WILDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC 003384L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0431485000
INDEPENDENCE BLUE CROSS
PA
01
—
608729
HIGHMARK BLUE CROSS BLUE SHIELD
PA
Enumeration date
06/08/2006
Last updated
06/09/2014
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