LORI L WILSON (NPI# 1548256498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548256498 |
| Entity Type | Individual |
| Full Name | LORI L WILSON |
| Credential | MD |
| Practice Address |
263 Farmington Ave, Mc 1614 Neag Comprehensive Cancer Center - Surg Onc Farmington CT 06030-0001 |
| Mailing Address |
65 Kane St Provider Enrollment West Hartford CT 06119-2110 |
| Practice Telephone | 8606796052 |
| Practice Fax Number | 8606794973 |
| Mailing Telephone | 8605236421 |
| Mailing Fax Number | 8605233701 |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2010-02-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 043799 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 1427997 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665660 | Lori Lyn Wilson | Peer Specialist | 12700 Sw 53rd St, Mustang, OK 73064-7257 | 2020-09-30 |
| 1588205058 | Lori Wilson | Registered Nurse | 5512 Canyon Bluff Ln, Rosharon, TX 77583-2091 | 2019-10-04 |
| 1538401344 | Lori Rhae Wilson | Rehabilitation Practitioner | 1620 Granite Dr, Reno, NV 89509-3997 | 2013-03-19 |
| 1528344611 | Lori A. Wilson | Speech-Language Pathologist | 3830 Paulding Ave., Lavelle School for The Blind, Bronx, NY 10469 | 2011-11-02 |
| 1518274505 | Lori Anne Wilson | Acupuncturist | 3010 5th Ave, San Diego, CA 92103-5841 | 2010-09-11 |
| 1679727010 | Lori N Wilson | Marriage & Family Therapist | 615 Piikoi St., #203, Honolulu, HI 96814 | 2008-11-12 |
| 1629256409 | Lori Sue Wilson | Counselor | 2480 N Palo Verde Blvd, #103, Tucson, AZ 85716-2548 | 2008-02-04 |
| 1134340714 | Lori Anne Wilson | Psychologist | 6602 N. 75th Ave, Glendale, AZ 85303-3536 | 2007-05-01 |
| 1861409203 | Lori S Wilson | Dentist | 2010 Wakefield Ave, Petersburg, VA 23805-2112 | 2006-08-01 |
| 1417970682 | Lori B Wilson | Midwife, Lay | 2211 N Weber St, Colorado Springs, CO 80907-6946 | 2006-07-26 |
| Street Address |
263 FARMINGTON AVE, MC 1614 NEAG COMPREHENSIVE CANCER CENTER - SURG ONC |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821617606 | David Wozny | Student in an Organized Health Care Education/Training Program | General Medicine Clinic, Outpatient Pavillion-2 East, 263 Farmington Ave, Farmington, CT 06030 | 2020-04-13 |
| 1508495185 | Zachary Boivin | Student in an Organized Health Care Education/Training Program | Emergency Medicine Office, 263 Farmington Ave, Farmington, CT 06030 | 2020-04-06 |
| 1063903730 | Agura Afiari | Student in an Organized Health Care Education/Training Program | Uconn School of Medicine, 263 Farmington Avenue, Farmington, CT 06030 | 2018-05-29 |
| 1750879474 | Areeba Siddiqui | Student in an Organized Health Care Education/Training Program | 263 Farmington Avenue Mc1921, Farmington, CT 06030 | 2018-04-27 |
| 1508362013 | Arya Saniee I | Student in an Organized Health Care Education/Training Program | 264 Farmington Ave, Farmington, CT 06030 | 2018-04-03 |
| 1679828594 | Randall Morera | Student in an Organized Health Care Education/Training Program | 262 Farmington Ave, Farmington, CT 06030 | 2012-07-17 |
| 1750644365 | Ugonna Ijeoma | Student in an Organized Health Care Education/Training Program | 260 Farmington Ave, Farmington, CT 06030 | 2012-06-19 |
| 1407018419 | Julia Marie Toto | Plastic Surgery | University Physicians, 263 Farmington Avenue, Farmington, CT 06030 | 2008-06-30 |
| 1851456495 | Jeffrey Gross | Anesthesiology | 263 Farmington Avenue, Mc-2015, John Dempsey Hospital, Farmington, CT 06030 | 2006-12-26 |
| 1649225269 | Julian Nieves | Internal Medicine | 263 Famrington Avenue, Farmington, CT 06030 | 2006-05-23 |
| Find all providers in zip 06030 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235398611 | Robert Angelo Brenes | Surgery | 76 Batterson Park Rd Ste 106, Farmington, CT 06032-2571 | 2008-06-02 |
| 1245341635 | David Alan Dunworth | Surgery | 802 E Navajo St, Farmington, NM 87401-9119 | 2006-08-31 |
| 1083651269 | H Jack Myers | Surgery | 395 Chestnut Hill Rd, Farmington, NH 03835-3919 | 2006-05-31 |
| 1639669591 | Brad R Kincaid | Surgery | 263 Farmington Ave, Farmington, CT 06030-1782 | 2018-05-16 |
| 1871925610 | Fadi Fahad | Surgery | 263 Farmington Ave, Farmington, CT 06030-3412 | 2013-08-03 |
| 1780024174 | Philip Keith Ernest | Surgery | 630 W Maple St, Farmington, NM 87401 | 2013-06-28 |
| 1730522897 | Katerina Dukleska | Surgery | 263 Farmington Ave, Farmington, CT 06030-8072 | 2013-04-09 |
| 1730447251 | Stacey Lynn Gutman | Surgery | 181 Franklin Health Commons, Farmington, ME 04938 | 2012-05-03 |
| 1205112661 | Paul Richard Cutler | Surgery | 801 West Maple, San Juan Regional Medical Center, Farmington, NM 87401 | 2011-10-31 |
| 1356624852 | David A. Dunworth, D.o., P.C. | Surgery | 802 E Navajo St, Farmington, NM 87401-9119 | 2011-09-21 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 06030 |
Please comment or provide details below to improve the information on LORI L WILSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.