Provider Demographics
NPI:1992961932
Name:SHIFLETT, LORI A (NP)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:A
Last Name:SHIFLETT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF KANSAS
Mailing Address - Street 2:1200 SCHWEGLER DR
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66045-0001
Mailing Address - Country:US
Mailing Address - Phone:785-864-9500
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF KANSAS
Practice Address - Street 2:1200 SCHWEGLER DR
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66045-0001
Practice Address - Country:US
Practice Address - Phone:785-864-9500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-30
Last Update Date:2016-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEAPN0001496363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner