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General NPI Number Information
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NPI Number | 1881777340
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Entity Type | Individual
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Provider Name | MICHAEL FRANCIS LORICH DO, MPH
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Gender | Male
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 2690 NE KRESKY AVE
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City | CHEHALIS
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State | WA
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Zip | 98532-2412
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Country | US
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Telephone | 360-330-9595
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Fax | 360-330-9530
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Provider Business Mailing Address
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Address Line | 1685 52ND AVE SE
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City | TUMWATER
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State | WA
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Zip | 98501-4704
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Country | US
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Telephone | 254-338-2350
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4141
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OP00002167
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License Number State | WA
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