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Contact Information

LORI L GUSHUE, PA-C
13400 E SHEA BLVD
SCOTTSDALE, AZ85259-5452
 Phone: 480-301-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LORI L GUSHUE · (Female)

NPI # 1013076892
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 12/07/2006
Last updated 03/13/2019 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • AZ License # 3578
Hospital affiliation(s)
  • MAYO CLINIC HOSPITAL - (Acute Care)
    5777 EAST MAYO BOULEVARD
    PHOENIX, AZ 85054
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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