Individual
MRS. LORI ANN PHILLIPS
Active
Individual
MRS. LORI ANN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
309-000244
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500019533
RAILROAD MEDICARE
IL
Enumeration date
08/21/2006
Last updated
09/12/2018
Update your record
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