# PROF. LORI BUCKLEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1326656935
- **Gender:** F
- **Credential:** MSN, RN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WA2000X | Administrator Registered Nurse | R185850 | MD | — |
| 163WC1400X | College Health Registered Nurse | R185850 | MD | Yes |
| 163WM0705X | Medical-Surgical Registered Nurse | R185850 | MD | — |

## Other

- **Enumeration date:** 07/20/2020
- **Last updated:** 07/20/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | B240546501663 | DRIVERS LICENSE | MD |