| Doctor Name: | LORI L GUSHUE |
| NPI Number: | 1013076892 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 3578 |
| Business Practice Address: | 13400 E Shea Blvd Scottsdale, AZ - 852595452 |
| Business Phone Number: | 4803018000 |
| Business Fax Number: | |
| Mailing Address: | 13400 E Shea Blvd, SCOTTSDALE |
| State: | AZ |
| Postal Code: | 852595452 |
| Phone Number: | 4803018000 |
| Fax Number: | |
| NPI Enumeration Date: | 12/07/2006 |
| NPI Last Update Date: | 04/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 3578 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |