LORRAINE CONKLIN PAC - NPI 1619915188 - Physician Assistant in Fort Wayne, IN

Q: What is Lorraine Conklin's NPI number?

The NPI number for Lorraine Conklin is 1619915188. It was assigned to this individual provider in the NPPES registry on June 4, 2006.

Q: What is Lorraine Conklin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Lorraine Conklin was last updated on September 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Lorraine Conklin Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LORRAINE CONKLIN PAC (NPI 1619915188) is an individual physician assistant in Fort Wayne, Indiana, licensed in Indiana (10000299A) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1619915188

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameLORRAINE CONKLINCredential: PAC

Location Address7333 W JEFFERSON BLVDFort Wayne, IN 46804-6280

Mailing Address7333 W Jefferson BlvdFort Wayne, IN 46804-6280 · (260) 435-7334 · Fax (260) 435-7748

Phone(260) 435-7334

Fax(260) 435-7748

Sole ProprietorNo

Enumeration DateJune 4, 2006

Last NPPES UpdateSeptember 16, 2020

NPPES CertifiedSeptember 16, 2020

✔ NPI 1619915188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IN · 10000299A

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

7333 W JEFFERSON BLVD, Fort Wayne, IN 46804

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Other Identifiers 1

Other668020UIN · Medicare Id

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROLAND STUCKEY MD

Family Medicine