Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lori Antoinette Fuller, PA-C

Individual provider Physician Assistant · NPI 1588643811

Lori Antoinette Fuller, PA-C is a Physician Assistant in Iowa City, Iowa. Qualified in 1989, 37 years ago. Practices with State University of Iowa, a 1,885-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
37
Licensed in
IA
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone: (319) 335-3500
Fax: (319) 353-7331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 000850 (IA)
Physician Assistant Taxonomy 363A00000X · Licence 000850 (IA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 000850 (IA)

Record details

NPI number1588643811
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 13, 2006
Last updated in NPPESDecember 17, 2021
Certification dateDecember 17, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice State University Of Iowa — 1885 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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