Masteller, Lori Victor

Masteller, Lori Victor is an sole proprietor health care provider with primary practice located at 6850 Lows Rd Ste 325, Bloomsburg PA 17815-8708. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Masteller, Lori Victor can be contacted via phone (570) 784-5545.

Contact Information

Primary practice address
6850 Lows Rd Ste 325 Bloomsburg PA 17815-8708
Fax: (570) 245-0240
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS010659L Pennsylvania

Profile Details

NPI number 1841283538
LBN Legal business name Masteller, Lori Victor
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2005
Last updated Nov 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841283538 NPPES
Pennsylvania Other 2K3370 MEDICARE (FAMILY PRACTICE CENTER PC)
Pennsylvania MEDICAID 0019154280002 MEDICARE (FAMILY PRACTICE CENTER PC)

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