Provider Demographics
NPI:1013386762
Name:MARGARET A LORIMOR APRN-FNP-C PLLC
Entity Type:Organization
Organization Name:MARGARET A LORIMOR APRN-FNP-C PLLC
Other - Org Name:WELLCARE FAMILY CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:A
Authorized Official - Last Name:LORIMOR
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:405-282-3898
Mailing Address - Street 1:3077 E COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:GUTHRIE
Mailing Address - State:OK
Mailing Address - Zip Code:73044-8065
Mailing Address - Country:US
Mailing Address - Phone:405-282-3898
Mailing Address - Fax:405-260-0429
Practice Address - Street 1:3077 E COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:GUTHRIE
Practice Address - State:OK
Practice Address - Zip Code:73044-8065
Practice Address - Country:US
Practice Address - Phone:405-282-3898
Practice Address - Fax:405-260-0429
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-23
Last Update Date:2015-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK84764305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization