Mulligan, Lori
Mulligan, Lori is an individual health care provider with primary practice located at 4108 Makyes Rd , Syracuse NY 13215-8708. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Mulligan, Lori can be contacted via phone (315) 751-4704.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 20064 | New York |
Profile Details
| NPI number | 1053561985 |
|---|---|
| LBN Legal business name | Mulligan, Lori |
| Credentials | MA, LMHC, CASAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2008 |
| Last updated | Mar 3rd, 2024 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053561985 | NPPES |
| New York | MEDICAID | 01079267 |
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