Lori J Wain (NPI# 1235507377, PAC ID# 5698078947) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1235507377 |
| PAC ID by PECOS | 5698078947 |
| Professional Enrollment ID | I20160121000348 |
| Full Name | Lori J Wain |
| Organization Legal Name | CLEAN SLATE MEDICAL GROUP OF PENNSYLVANIA LLC |
| Address |
329 Pine St Williamsport PA 17701-6216 |
| Phone Number | 4135842173 |
| Gender | F |
| Graduation Year | 2006 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8426334400 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1020 W Lackawanna Ave, Scranton, PA 18504-2052 | 4135842173 | CLEAN SLATE MEDICAL GROUP OF PENNSYLVANIA LLC |
| 329 Pine St, Williamsport, PA 17701-6216 | 4135842173 | CLEAN SLATE MEDICAL GROUP OF PENNSYLVANIA LLC |
| Organization Legal Name | CLEAN SLATE MEDICAL GROUP OF PENNSYLVANIA LLC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Bohn | Family Medicine | Clean Slate Medical Group of Pennsylvania LLC | 189 E Market St, Wilkes Barre, PA 18702-5243 |
| Mindi Nichols | Nurse Practitioner | Clean Slate Medical Group of Pennsylvania LLC | 1020 W Lackawanna Ave, Scranton, PA 18504-2052 |
| Roxanne M Sides | Nurse Practitioner | Clean Slate Medical Group of Pennsylvania LLC | 3380 Memphis St, Philadelphia, PA 19134-4510 |
| Cydnee Allene Sankey-deemer | Nurse Practitioner | Clean Slate Medical Group of Pennsylvania LLC | 501 Howard Ave, Suite A202, Altoona, PA 16601-4810 |
| Ellen B Linde | Nurse Practitioner | Clean Slate Medical Group of Pennsylvania LLC | 1020 W Lackawanna Ave, Scranton, PA 18504-2052 |
| Faizmohamed Mansuri | Internal Medicine | Clean Slate Medical Group of Pennsylvania LLC | 1020 W Lackawanna Ave, Scranton, PA 18504-2052 |
| Jay Willner | Obstetrics/gynecology | Clean Slate Medical Group of Pennsylvania LLC | 1020 W Lackawanna Ave, Scranton, PA 18504-2052 |
| Amber L Petty | Nurse Practitioner | Clean Slate Medical Group of Pennsylvania LLC | 329 Pine St, Williamsport, PA 17701-6216 |
| Caitlyn Rivero | Physician Assistant | Clean Slate Medical Group of Pennsylvania LLC | 1020 W Lackawanna Ave, Scranton, PA 18504-2052 |
| Marlaina Burns | Nurse Practitioner | Clean Slate Medical Group of Pennsylvania LLC | 1020 W Lackawanna Ave, Scranton, PA 18504-2052 |
| Street Address |
329 PINE ST |
| City | WILLIAMSPORT |
| State | PA |
| Zip | 17701-6216 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amber L Petty | Nurse Practitioner | Clean Slate Medical Group of Pennsylvania LLC | 329 Pine St, Williamsport, PA 17701-6216 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer R Zelewicz | Clinical Social Worker | Rear 1012 Washington Blvd, Williamsport, PA 17701-1012 | |
| Russell L Gombosi | Internal Medicine | 3155 Lycoming Creek Rd, Williamsport, PA 17701-1032 | |
| Darrin Lynn Wascher | Chiropractic | 2403 Lycoming Creek Rd, Williamsport, PA 17701-1163 | |
| Thomas Robert Piccirilli | Optometry | Independence Corporation | 1831 Lycoming Creek Rd, Williamsport, PA 17701-1523 |
| David G Wascher | Chiropractic | 1905 Mill Ln, Williamsport, PA 17701-1527 | |
| Damon G Wascher | Chiropractic | 1905 Mill Ln, Williamsport, PA 17701-1527 | |
| Gregory A Johnson | Chiropractic | 730 Wildwood Blvd, Williamsport, PA 17701-1648 | |
| Brett L Johnson | Chiropractic | 730 Wildwood Blvd, Williamsport, PA 17701-1648 | |
| Danielle Farer | Nurse Practitioner | Gps Physician Group, PC | 1201 Rural Ave, Williamsport, PA 17701-1669 |
| Lee Michael Ciccarelli | Geriatric Medicine | 1251 Rural Ave, Williamsport, PA 17701-1697 | |
| Find all physicians in zip 17701 | |||
| City | WILLIAMSPORT |
| Zip Code | 17701 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WILLIAMSPORT + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Lori J Wain.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.