Golon, Lori Ann

Golon, Lori Ann is an individual health care provider with primary practice located at 1001 6Th Ave Ste 210 , Leavenworth KS 66048-3248. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Golon, Lori Ann can be contacted via phone (913) 682-3920.

Contact Information

Primary practice address
1001 6Th Ave Ste 210 Leavenworth KS 66048-3248
Fax: (913) 682-6239
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0428097 Kansas

Profile Details

NPI number 1114019593
LBN Legal business name Golon, Lori Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Jul 17th, 2024 - about 5 months 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 1114019593 NPPES
Kansas Other 103910 BLUE CORSS
Kansas MEDICAID 100393028B BLUE CORSS

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