Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lorraine Conklin, PAC

Individual provider Physician Assistant · NPI 1619915188

Lorraine Conklin, PAC is a Physician Assistant in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

7333 W Jefferson Blvd
Fort Wayne, IN 46804-6280
Phone: (260) 435-7334
Fax: (260) 435-7748
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10000299A (IN)

Record details

NPI number1619915188
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedJune 4, 2006
Last updated in NPPESSeptember 16, 2020
Certification dateSeptember 16, 2020
Mailing address7333 W Jefferson Blvd, Fort Wayne, IN 46804-6280

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