Individual
LORI M TERAOKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
1404
NH
363AS0400X
Surgical Physician Assistant
Primary
196149
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3114580
—
NH
Enumeration date
09/14/2018
Last updated
03/03/2020
Update your record
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