Individual
MRS. LORI LEE GEORGESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
49 STATE RD STE 202, NORTH DARTMOUTH, MA 02747-3322
(508) 973-9240
(508) 973-0306
Mailing address
200 MILL RD, FAIRHAVEN, MA 02719-5252
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
206554
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2783500
—
OH
Enumeration date
04/25/2006
Last updated
10/18/2024
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