Individual
LORI FAUQUIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11672 LITTLE RIVER WAY, PARRISH, FL 34219-3233
(845) 464-4051
Mailing address
1672 LITTLE RIVER WAY, PARRISH, FL 34219
(941) 732-3324
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
26NN8867700
NJ
363LW0102X
Women's Health Nurse Practitioner
Primary
F420560
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8630704
—
NJ
Enumeration date
06/14/2007
Last updated
05/21/2024
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