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NPI Code Detail

MEDICARE: LORI ELIZABETH LINK C.N.M., M.S.N.

MEDICARE:   LORI ELIZABETH LINK  C.N.M., M.S.N.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367A00000XAdvanced Practice Midwife144282MO
2367A00000XAdvanced Practice Midwife236280CA

General Provider Information

NPI Number : 1114263506
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORI ELIZABETH LINK C.N.M., M.S.N.
Provider Business Mailing Address
First Line : PO BOX 1984
Second Line :
City : QUINCY
State : CA
Zip : 95971-1984
Country : US
Telephone Number : 417-838-8860
Fax Number :
Provider Business Practice Location Address
First Line : 1065 BUCKS LAKE RD
Second Line :
City : QUINCY
State : CA
Zip : 95971-9599
Country : US
Telephone Number : 530-283-7969
Fax Number : 530-283-7967
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2012
Last Update Date : 06/10/2022

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Directions to “ LORI ELIZABETH LINK C.N.M., M.S.N.” Practice Location

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