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NPI Code Detail

MEDICARE: DR. LORI ANN SEGLETES MD

MEDICARE:  DR. LORI ANN SEGLETES  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician9601469NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
112890OTHERNCBCBS OF NC
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063400596
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LORI ANN SEGLETES MD
Provider Business Mailing Address
First Line : PO BOX 1295
Second Line :
City : BLUEFIELD
State : WV
Zip : 24701-1295
Country : US
Telephone Number : 304-323-4320
Fax Number :
Provider Business Practice Location Address
First Line : 2700 WAYNE MEMORIAL DR
Second Line :
City : GOLDSBORO
State : NC
Zip : 27534-9494
Country : US
Telephone Number : 919-736-1110
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2005
Last Update Date : 03/17/2018

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Directions to “ DR. LORI ANN SEGLETES MD” Practice Location

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