Individual
DR. LORI A WASHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1627 W BIG BEAVER RD, TROY, MI 48084-3501
(248) 861-0010
Mailing address
585 SOUTH BLVD E STE 100, PONTIAC, MI 48341-3163
(248) 206-1200
(248) 206-1206
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LW068059
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080189690
RAILROAD MEDICARE
MI
01
—
0806334731
BCBS BCN
MI
01
—
0806366091
BCBS
MI
05
—
4423490
—
MI
01
—
CK5028
RAILROAD MEDICARE GROUP
MI
Enumeration date
07/14/2005
Last updated
04/14/2020
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