Provider Demographics
NPI:1043227150
Name:CAPRIO, LORI M (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:LORI
Middle Name:M
Last Name:CAPRIO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MRS
Other - First Name:LORI
Other - Middle Name:
Other - Last Name:CAPRIO-SMEDICK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA-C
Mailing Address - Street 1:253 PLEASANT ST
Mailing Address - Street 2:DARTMOUTH HITCHCOCK - ORTHOPAEDICS
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-7560
Mailing Address - Country:US
Mailing Address - Phone:603-226-2200
Mailing Address - Fax:
Practice Address - Street 1:253 PLEASANT ST
Practice Address - Street 2:DARTMOUTH HITCHCOCK - ORTHOPAEDICS
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-7560
Practice Address - Country:US
Practice Address - Phone:603-226-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0428363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3071927Medicaid
NH3071927Medicaid
NHAP1879Medicare ID - Type Unspecified