Provider Demographics
NPI:1932336260
Name:SUFFREDINI, LORI ANN WILKINSON (DO)
Entity Type:Individual
Prefix:DR
First Name:LORI ANN
Middle Name:WILKINSON
Last Name:SUFFREDINI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:LORI ANN
Other - Middle Name:
Other - Last Name:WILKINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:600 N. WOLFE STREET
Mailing Address - Street 2:BLALOCK 1410
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21287-4963
Mailing Address - Country:US
Mailing Address - Phone:410-955-7615
Mailing Address - Fax:
Practice Address - Street 1:600 N. WOLFE STREET
Practice Address - Street 2:BLALOCK 1410
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-4963
Practice Address - Country:US
Practice Address - Phone:410-955-7615
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-12
Last Update Date:2013-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH0076156207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology