Individual
MRS. LORRI CHERIE PALM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
436 5TH & TED STEVENS WAY, KOTZEBUE, AK 99752-0043
(907) 442-3321
(907) 442-7250
Mailing address
PO BOX 861, PRICE, UT 84501
(435) 636-0486
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
003343
GA
363A00000X
Physician Assistant
004730-1
NY
363A00000X
Physician Assistant
10000252A
IN
363A00000X
Physician Assistant
103016
NC
363A00000X
Physician Assistant
332788-1206
UT
363A00000X
Physician Assistant
56010003324
MI
363A00000X
Physician Assistant
Primary
905
AK
363A00000X
Physician Assistant
PA1479
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HS19IP
—
AK
05
—
HS19OP
—
AK
Enumeration date
01/12/2006
Last updated
09/26/2011
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