Individual
LORI ALLISON GROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6420 W NEWBERRY RD, GAINESVILLE, FL 32605-6621
(352) 333-5840
(352) 333-5841
Mailing address
6420 W NEWBERRY RD, GAINESVILLE, FL 32605-6621
(352) 333-5840
(352) 333-5841
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME97371
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277015600
—
FL
01
—
305073
AVMED
FL
01
—
68871
BCBS
FL
01
—
P00361049
MEDICARE RAILROAD
FL
Enumeration date
08/11/2006
Last updated
09/24/2024
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