| NPI | 1659479475 |
|---|---|
| Former Name | LORI LYNN KELLOGG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: FL ME105451) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD428100) |
| 207L00000X Anesthesiology (Licence: MD D0067850) | |
| 207L00000X Anesthesiology (Licence: FL ME105451) | |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: FL ME105451) | |
| 208VP0000X Pain Medicine Pain Medicine (Licence: FL ME105451) | |
| 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: FL ME105451) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-07-17 |