Provider Demographics
NPI:1689896227
Name:PALFREYMAN, LORI PARLIN (PA-C)
Entity Type:Individual
Prefix:MS
First Name:LORI
Middle Name:PARLIN
Last Name:PALFREYMAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1213 CRIM RD
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-2306
Mailing Address - Country:US
Mailing Address - Phone:908-595-6333
Mailing Address - Fax:
Practice Address - Street 1:1213 CRIM RD
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-2306
Practice Address - Country:US
Practice Address - Phone:908-595-6333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMP00323363A00000X
NY005791363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant