MS. Lorie Ann Thompson Masters, PHYSICIAN ASSISTANT

NPI #1699041368 in Port Saint Lucie, Florida

Provider Information

NPI Number: 1699041368
Entity Type: Individual
Name: MS. Lorie Ann Thompson Masters, PHYSICIAN ASSISTANT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PHYSICIAN ASSISTANT
Enumeration Date: Mar 28, 2012
Last Updated: Jan 20, 2024

Practice Location

Address: 11474 SW VILLAGE PKWY
City: Port Saint Lucie
State: Florida
ZIP Code: 34987-2391
Phone: (772) 318-4945

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X
Physician Assistant	363A00000X	Primary

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