Provider Demographics
NPI:1275635955
Name:ARMSTRONG, LORI L (NP)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:L
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 OSBORN BLVD
Mailing Address - Street 2:
Mailing Address - City:SAULT SAINTE MARIE
Mailing Address - State:MI
Mailing Address - Zip Code:49783-1822
Mailing Address - Country:US
Mailing Address - Phone:906-635-2969
Mailing Address - Fax:906-635-3114
Practice Address - Street 1:500 OSBORN BLVD
Practice Address - Street 2:
Practice Address - City:SAULT SAINTE MARIE
Practice Address - State:MI
Practice Address - Zip Code:49783-1822
Practice Address - Country:US
Practice Address - Phone:906-635-2969
Practice Address - Fax:906-635-3114
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704260751363L00000X
WI124001363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI11905205OtherCAQH-ID
MI1801848718OtherSENIORS WELLNESS GROUP OF MICHIGAN - NPI TYPE 2
MI0871168OtherBCBSM PIN
MI1255341756OtherPINE REST CHRISTIAN - TYPE 2 NPI
MI1275635955OtherWAR MEMORIAL HOSPITAL
MI1699832279OtherCHIPPEWA COUNTY MEMORIAL HOSPITAL - TYPE 2 NPI
WI41192500Medicaid
MI4704260751OtherMI STATE LICENSE
MI1699832279OtherCHIPPEWA COUNTY MEMORIAL HOSPITAL - TYPE 2 NPI
MI0871168OtherBCBSM PIN
WI085472200Medicare ID - Type Unspecified