| NPI | 1528538196 |
|---|---|
| Former Name | LORI PAGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 12.008044) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 10.106681) |
| 163W00000X Registered Nurse (Licence: FL 9415928) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 12.08044) | |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2020-01-17 |