LORI FULLER, PA-C
Physician Assistant - Surgical
Active
Individual
NPI: 1588643811
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | No | 000850 (IA) |
| Physician Assistant - Medical | 363AM0700X | No | 000850 (IA) |
| Physician Assistant - Surgical | 363AS0400X | Yes | 000850 (IA) |
Frequently Asked Questions
NPI 1588643811 is the National Provider Identifier for LORI FULLER, PA-C, a Physician Assistant - Surgical provider located in Iowa City, IA. This NPI was enumerated on January 13, 2006.
LORI FULLER, PA-C practices at 200 HAWKINS DR, Iowa City, IA 52242.
Quick Facts
- NPI
- 1588643811
- Type
- Individual
- Enumerated
- Jan 13, 2006
- Last Updated
- Dec 17, 2021
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