LORI S BOLTON

COASTAL COMPLETE CARE, PA

Dr LORI S BOLTON is a female medical professional, specializing in Nurse Practitioner. She graduated in 2016.

Contact

COASTAL COMPLETE CARE, PA

1706 S JEFFERSON ST
PERRY
FL
323485611

Tel: 8502952625

LORI S BOLTON Information

Npi 1770039216
Pac Id 9638457674
Professional Enrollment Id I20161026002598
Last Name BOLTON
First Name LORI
Middle Name S
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2016
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name COASTAL COMPLETE CARE, PA
Group Practice Pac Id 8921323247
Number Of Group Practice Members 6
Line 1 Street Address 1706 S JEFFERSON ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City PERRY
State FL
Zip Code 323485611
Phone Number 8502952625
Hospital Affiliation Ccn 1 100106
Hospital Affiliation Lbn 1 DOCTOR'S MEMORIAL HOSPITAL INC
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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