Individual
MS. LORI LEE PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
MANSFIELD UNIVERISTY, HEALTH CLINIC, MANSFIELD, PA 16933
(570) 662-4350
(570) 662-4352
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
UP006948B
PA
363LF0000X
Family Nurse Practitioner
UP006948B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02242886
—
NY
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU040009
PA MEDICARE GROUP
PA
Enumeration date
02/09/2006
Last updated
03/02/2021
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