MD Lori Lynn Poelstra, NPI 1659479475
Pain Medicine (Anesthesiology) Physician in Destin, FL, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1659479475
NPI Entity Type Individual
Provider Name MD Lori Lynn Poelstra
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 155 Crystal Beach Dr Ste 200, Ste 200, Destin, FL, US
Provider Mailing Address 10582 Harvest Green Way, Las Vegas, NV, US, 891351240
Gender Female
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

207LP2900X

Taxonomy Name Pain Medicine (Anesthesiology) Physician
Classification

Anesthesiology

Group

Allopathic & Osteopathic Physicians

License No. ME105451
License State FL
Description An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Other Name

MD Lori Lynn Kellogg
Former Name

Business Address

MD Lori Lynn Poelstra
155 Crystal Beach Dr Ste 200
Ste 200

Destin, FL, US

Phone: 850-460-2350
Fax: 850-460-2351

Mailing Address

MD Lori Lynn Poelstra
10582 Harvest Green Way
Las Vegas, NV, US
ZIP 891351240
Phone: 850-797-6180

Secondary Taxonomies

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
415597100 MD MEDICAID 05
001555800 FL MEDICAID 05
146PL FL BLUE CROSS BLUE SHIELD 01

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