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Individual
LORI BANFIELD
Active
Individual
LORI BANFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
026059
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00026059
—
NY
01
—
000416437001
BSNENY
—
01
—
10083262
CDPHP
—
01
—
371499
MVP
—
01
—
83643
GHIHMO
—
01
—
Q08A21
EMPIRE BLUE CROSS
—
Enumeration date
08/05/2006
Last updated
09/18/2024
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