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NPI Code Detail

MEDICARE: LORI S GEORGE

MEDICARE:   LORI S GEORGE
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
1183500000XPharmacist5302041765MI

General Provider Information

NPI Number : 1336556430
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORI S GEORGE
Provider Business Mailing Address
First Line : 1415 INCOCHEE FARM LN
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-1462
Country : US
Telephone Number : 402-253-4357
Fax Number :
Provider Business Practice Location Address
First Line : 13916 S WEST BAY SHORE DR
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-6264
Country : US
Telephone Number : 231-946-7400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2014
Last Update Date : 07/21/2014

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Directions to “ LORI S GEORGE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.