Individual
LORI KLOC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 FRUIT ST, H01-109, BOSTON, MA 02114-2621
(617) 429-0776
Mailing address
55 FRUIT ST, H01-109, BOSTON, MA 02114-2621
(617) 429-0776
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN239623
MA
Other
Enumeration date
10/05/2010
Last updated
11/03/2010
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