Individual
LORI LYNN KELLOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10703 HARVEST GREEN WAY, LAS VEGAS, NV 89135-1246
(850) 797-6180
Mailing address
10703 HARVEST GREEN WAY, LAS VEGAS, NV 89135-1246
(850) 797-6180
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
D0067850
MD
207L00000X
Anesthesiology Physician
MD428100
PA
207L00000X
Anesthesiology Physician
ME105451
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME105451
FL
207XS0117X
Orthopaedic Surgery of the Spine Physician
ME105451
FL
208VP0000X
Pain Medicine Physician
ME105451
FL
208VP0014X
Interventional Pain Medicine Physician
ME105451
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001555800
—
FL
01
—
146PL
BLUE CROSS BLUE SHIELD
FL
05
—
415597100
—
MD
Enumeration date
09/20/2006
Last updated
01/26/2026
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