Cardwell, Lori Anne

Cardwell, Lori Anne is an individual health care provider with primary practice located at 615 Lilly Rd Ne Suite 100, Olympia WA 98506-5117. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Cardwell, Lori Anne can be contacted via phone (360) 491-4211.

Contact Information

Primary practice address
615 Lilly Rd Ne Suite 100 Olympia WA 98506-5117
Fax: (360) 493-0407
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA10003577 Washington

Profile Details

NPI number 1972536779
LBN Legal business name Cardwell, Lori Anne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2006
Last updated Jun 30th, 2009 - about 16 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 1972536779 NPPES
Washington MEDICAID 8505299

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