Georgeson, Lori Lee

Georgeson, Lori Lee is an individual health care provider with primary practice located at 874 Purchase St , New Bedford MA 02740-6232. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Georgeson, Lori Lee can be contacted via phone (508) 992-6553.

Contact Information

Primary practice address
874 Purchase St New Bedford MA 02740-6232
Phone: (508) 992-6553
Fax: (508) 984-8420
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 206554 Massachusetts
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35-090406 Ohio

Profile Details

NPI number 1154387355
LBN Legal business name Georgeson, Lori Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Jan 22nd, 2015 - about 10 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 1154387355 NPPES
Ohio MEDICAID 2783500

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