Polacek, Lori G

Polacek, Lori G is an sole proprietor health care provider with primary practice located at 1524 Atwood Ave Suite 343, Johnston RI 02919. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as her primary health care specialty. Polacek, Lori G can be contacted via phone (401) 331-0202.

Contact Information

Primary practice address
1524 Atwood Ave Suite 343 Johnston RI 02919
Fax: (401) 421-3353
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X RI8046 Rhode Island

Profile Details

NPI number 1841392636
LBN Legal business name Polacek, Lori G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2006
Last updated Jul 8th, 2010 - about 15 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 1841392636 NPPES
Rhode Island MEDICAID 9020105

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