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Individual
LORI A ROESSLER
Active
Individual
LORI A ROESSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
009792
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026959502
UNIVERA LEGACY#
NY
01
—
000924732003
HEALTH NOW BCBS LEGACY#
NY
01
—
070206000001
FIDELIS LEGACY#
NY
01
—
070320000056
FIDELIS # FOR URGENT CARE
NY
05
—
08494418
—
NY
01
—
195030BF
PREFERRED CARE #
NY
01
—
9512762
IHA LEGACY#
NY
Enumeration date
08/19/2006
Last updated
07/08/2007
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