Fantry, Lori E
Fantry, Lori E is an individual health care provider with primary practice located at 1501 N Campbell Ave , Tucson AZ 85724-1544. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Fantry, Lori E can be contacted via phone (410) 328-9105.Contact Information
Primary practice address
1501 N Campbell Ave
Tucson AZ 85724-1544
Phone: (410) 328-9105
Fax: (410) 328-4430
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 52406 | Arizona |
Profile Details
| NPI number | 1821046277 |
|---|---|
| LBN Legal business name | Fantry, Lori E |
| Credentials | MD, MPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Jul 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821046277 | NPPES |
| District of Columbia | MEDICAID | 4420540 | |
| District of Columbia | Other | 520948-01 & 02 | |
| District of Columbia | MEDICAID | 066631900 |
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