Healthcare Provider Details

I. General information

NPI: 1437222825
Provider Name (Legal Business Name): LORI SHIFRIN PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5670 PEACHTREE DUNWOODY RD NE
ATLANTA GA
30342-1699
US

IV. Provider business mailing address

101 CALIBRE WOODS DR NE
ATLANTA GA
30329-3940
US

V. Phone/Fax

Practice location:
  • Phone: 404-851-2368
  • Fax:
Mailing address:
  • Phone: 404-321-7785
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License NumberRPH022371
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: