Conklin, Lori D

Conklin, Lori D is an individual health care provider with primary practice located at 1215 Lee St , Charlottesville VA 22908-0001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Conklin, Lori D can be contacted via phone (434) 924-2283.

Contact Information

Primary practice address
1215 Lee St Charlottesville VA 22908-0001
Phone: (434) 924-2283
Fax: (434) 982-0019
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 0101239799 Virginia
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 0101239799 Virginia

Profile Details

NPI number 1659350122
LBN Legal business name Conklin, Lori D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Jul 30th, 2021 - about 3 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 1659350122 NPPES
Virginia MEDICAID 1659350122

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