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NPI Code Detail

MEDICARE: LORI JEAN SEYMOUR PA

MEDICARE:   LORI JEAN SEYMOUR  PA
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
1363A00000XPhysician Assistant101591NC

General Provider Information

NPI Number : 1255329025
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORI JEAN SEYMOUR PA
Provider Business Mailing Address
First Line : 300 MOORESVILLE RD
Second Line :
City : KANNAPOLIS
State : NC
Zip : 28081-0304
Country : US
Telephone Number : 704-920-1000
Fax Number : 704-934-4270
Provider Business Practice Location Address
First Line : 300 MOORESVILLE RD
Second Line :
City : KANNAPOLIS
State : NC
Zip : 28081-0304
Country : US
Telephone Number : 704-920-1205
Fax Number : 704-934-4270
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2005
Last Update Date : 06/16/2025

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Directions to “ LORI JEAN SEYMOUR PA” Practice Location

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