Lori Elizabeth Bristow, A.T.C.
Specialist/Technologist, Athletic Trainer in Baltimore, MD. Individual provider (NPI-1).
NPI number1730173188
StatusActive
Last updated in NPPESMar 31, 2015
Details
- NPI
- 1730173188
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Lori Elizabeth Bristow
- Credential
- A.T.C.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2005
- Last updated
- Mar 31, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
5407 Roland AveBaltimore, MD 21210-1938
Phone 410-323-7361
Mailing address
5407 Roland AveBaltimore, MD 21210-1938
Phone 410-323-7361
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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