Ryan, Lori K

Ryan, Lori K is an sole proprietor health care provider with primary practice located at 2421 E Southern Ave Ste 7 , Tempe AZ 85282-7612. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Ryan, Lori K can be contacted via phone (480) 425-2160.

Contact Information

Primary practice address
2421 E Southern Ave Ste 7 Tempe AZ 85282-7612
Phone: (480) 425-2160
Fax: (480) 351-8797
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 25460 Arizona

Profile Details

NPI number 1356301279
LBN Legal business name Ryan, Lori K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2006
Last updated Dec 5th, 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 1356301279 NPPES
Arizona MEDICAID 393710

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