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Lori Leese-Shinske

Family Medicine

Allopathic & Osteopathic Physicians

1 Britton Pl, Suite 12, Voorhees, NJ 08043-2514

PECOS Enrollment

This provider is enrolled in PECOS as LORI LEESE SHINSKE.

Based on the most recent information from CMS, provider Lori Leese-Shinske is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1609194075
Provider Type
Individual
Full Name
Leese-Shinske, Lori
Gender
Female

Sole Proprietor
No
Enumeration Date
5/11/2010
Last Updated
5/11/2010

Contact Information

Practice Location

1 Britton Pl, Suite 12, Voorhees, NJ 08043-2514

(856) 772-1880

(856) 770-0718

Mailing Location

6 Sassafras Way, Medford, NJ 08055-8131

(609) 206-1127

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 26NN09422400 New Jersey

Lori Leese-Shinske

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Davis, Robert

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Brace, Matthew J.

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David Zalut, Md