Individual
LORI A TREFTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 STARLING ST., SUITE 503, BRUNSWICK, GA 31520-0000
(912) 466-5503
(912) 466-5553
Mailing address
PO BOX 1213, BRUNSWICK, GA 31521-1213
(912) 466-5503
(912) 466-5553
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
2004-00273
NC
2084N0400X
Neurology Physician
Primary
66093
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142R7
BCBS
—
01
—
190070
MEDCOST
—
01
—
2054874
MEDICARE
NC
05
—
3810008136
—
WV
05
—
5906014
—
NC
01
—
7245850
AETNA
—
01
—
808506
PARTNERS
—
01
—
P00367375
RR MEDICARE
—
Enumeration date
07/02/2006
Last updated
09/09/2015
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