Provider Demographics
NPI:1235546839
Name:MARKER, LORIE A (ARNP)
Entity Type:Individual
Prefix:
First Name:LORIE
Middle Name:A
Last Name:MARKER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:LORIE
Other - Middle Name:A
Other - Last Name:CANNON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:800 S FILLMORE ST
Mailing Address - Street 2:
Mailing Address - City:OSCEOLA
Mailing Address - State:IA
Mailing Address - Zip Code:50213-1694
Mailing Address - Country:US
Mailing Address - Phone:641-342-2184
Mailing Address - Fax:
Practice Address - Street 1:800 S FILLMORE ST
Practice Address - Street 2:
Practice Address - City:OSCEOLA
Practice Address - State:IA
Practice Address - Zip Code:50213-1694
Practice Address - Country:US
Practice Address - Phone:641-342-2184
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-15
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA089151363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAP01353190OtherRR MEDICARE
IA1235546839Medicaid
IA719260657Medicare PIN