Brackbill, Lori Nicole

Brackbill, Lori Nicole is an individual health care provider with primary practice located at 2104 Harrisburg Pike Ste 200 , Lancaster PA 17601-2644. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Brackbill, Lori Nicole can be contacted via phone (717) 544-3626.

Contact Information

Primary practice address
2104 Harrisburg Pike Ste 200 Lancaster PA 17601-2644
Phone: (717) 544-3626
Fax: (717) 544-3628
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA055163 Pennsylvania

Profile Details

NPI number 1881971927
LBN Legal business name Brackbill, Lori Nicole
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2011
Last updated Sep 22nd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881971927 NPPES
Pennsylvania MEDICAID 1032013000003
Pennsylvania Other 1603241
Pennsylvania Other 2678804

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