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1659583532 NPI number — LORI DEANN PROFIT PHARMD

NPI Number: 1659583532
Health Care Provider/Practitioner: LORI DEANN PROFIT PHARMD

Information about “1659583532” NPI (LORI DEANN PROFIT PHARMD) exists in 1659583532 in HTML format HTML  |  1659583532 in plain Text format TXT  |  1659583532 in PDF (Portable Document Format) PDF  |  1659583532 in an XML format XML  formats.

NPI Number : 1659583532 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1659583532",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PROFIT",
    "FirstName": "LORI",
    "MiddleName": "DEANN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PHARMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LICK",
    "OtherFirstName": "LORI",
    "OtherMiddleName": "DEANN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "121 FREMONT ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CARO",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48723-1433",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "989-672-4482",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4005 ORCHARD DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MIDLAND",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48670-0001",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "989-839-3555",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/04/2007",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "5302034115",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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