Liberator, Lori Kay

Liberator, Lori Kay is an individual health care provider with primary practice located at 2840 N Dysart Rd , Goodyear AZ 85395-2338. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Liberator, Lori Kay can be contacted via phone (866) 389-2727.

Contact Information

Primary practice address
2840 N Dysart Rd Goodyear AZ 85395-2338
Phone: (866) 389-2727
Fax: (401) 652-9787
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP2998 Arizona

Profile Details

NPI number 1487824660
LBN Legal business name Liberator, Lori Kay
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2008
Last updated Feb 6th, 2019 - about 5 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 1487824660 NPPES
Arizona MEDICAID 315113

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