LORI ST JOHN

NEW YORK, NY
NPI1194072140
Former NameLORI GOUGH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NY  015846)
Enumeration Date2012-08-09
Last Update Date2016-03-18
Business Address
-- LORI ST JOHN
525 E 68TH ST
NEW YORK, NY 10065-4870
Phone number: 212-746-5454
Mailing Address
-- LORI ST JOHN
525 E 68TH ST
NEW YORK, NY 10065-4870
Phone number: 212-746-5454
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