Poelstra, Lori Lynn
Poelstra, Lori Lynn is an individual health care provider with primary practice located at 155 Crystal Beach Dr Ste 200 Ste 200, Destin FL 32541-3588. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Poelstra, Lori Lynn can be contacted via phone (850) 460-2350.Contact Information
Primary practice address
155 Crystal Beach Dr Ste 200 Ste 200
Destin FL 32541-3588
Phone: (850) 460-2350
Fax: (850) 460-2351
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD428100 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | D0067850 | Maryland |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ME105451 | Florida |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | ME105451 | Florida |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | ME105451 | Florida |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | ME105451 | Florida |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | ME105451 | Florida |
Profile Details
| NPI number | 1659479475 |
|---|---|
| LBN Legal business name | Poelstra, Lori Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 17th, 2020 - about 4 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 | 1659479475 | NPPES |
| Maryland | MEDICAID | 415597100 | |
| Maryland | MEDICAID | 001555800 | |
| Maryland | Other | 146PL |
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