Gresowski, Lori Jo
Gresowski, Lori Jo is an individual health care provider with primary practice located at 3175 Firestone Blvd , South Gate CA 90280-2951. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family Health, which is considered as her primary health care specialty. Gresowski, Lori Jo can be contacted via phone (949) 929-4165.Contact Information
Primary practice address
3175 Firestone Blvd
South Gate CA 90280-2951
Phone: (949) 929-4165
Fax: (323) 923-5460
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family Health | 364SF0001X | NP12408 | California |
Profile Details
| NPI number | 1851835045 |
|---|---|
| LBN Legal business name | Gresowski, Lori Jo |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2016 |
| Last updated | Dec 7th, 2016 - about 9 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 | 1851835045 | NPPES |
| California | MEDICAID | 00NP12408 |
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