Lori Ann Gough St John
Lori Ann Gough St John is a Medical Physician Assistant in New York, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2012
Practice location Address checks out
525 E 68th StNew York, NY 10065-4870
Phone: (212) 746-5454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 015846 (NY) |
|---|
Record details
| NPI number | 1194072140 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 9, 2012 |
| Last updated in NPPES | March 20, 2025 |
| Certification date | March 20, 2025 |
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