Lori J. Wortham in Casper - Physician Assistant
Lori J. Wortham - NPI 1558378372
Lori J. Wortham is a Physician Assistant in Casper, . Lori J. Wortham practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Lori J. Wortham is 1558378372. The last update date is 2011-03-22.
Lori J. Wortham's current location address is 940 E 3rd St Ste 215, Casper, . You can contact this provider via phone number 3072375510 and fax number 3072370607. The mailing address for Lori J. Wortham is 940 E 3rd St Ste 215, Casper, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lori J. Wortham |
|---|---|
| Address | 940 E 3rd St Ste 215, Casper, |
| Phone Number | 3072375510 |
| Fax Number | 3072370607 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1558378372 |
|---|---|
| Provider Enumeration Date | 2006-08-02 |
| Last Updated Date | 2011-03-22 |
Provider Mailing Address Detail
| Address | 940 E 3rd St Ste 215 |
|---|---|
| City | Casper |
| State | (WY) |
| Post Code | 826013251 |
| Phone Number | 3072375510 |
| Fax Number | 3072370607 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA450 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 806739400 | ID | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Lori J. Wortham by the Centers for Medicare & Medicaid Services?
The Lori J. Wortham has been assigned the NPI (National Provider Identifier) 1558378372. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Lori J. Wortham?
The Lori J. Wortham is situated at 940 E 3Rd St Ste 215, in the city of Casper, state of WY, with the zip code 826013251.
What is the Lori J. Wortham's area of specialization and corresponding taxonomy classification?
The Lori J. Wortham's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1558378372 to Lori J. Wortham?
The Lori J. Wortham received its 1558378372 assignment from the Centers for Medicare & Medicaid Services on 2006-08-02.
As of what date were the details pertaining to Lori J. Wortham last refreshed?
The information related to the Lori J. Wortham, including its address, specialty, and other relevant details, was last updated on 2011-03-22.