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NPI Code Detail

MEDICARE: JENNIFER LORRAINE

MEDICARE:   JENNIFER  LORRAINE
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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1326975806
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER LORRAINE
Provider Business Mailing Address
First Line : 2003 DRAYMORE LN
Second Line :
City : MATTHEWS
State : NC
Zip : 28105-5844
Country : US
Telephone Number : 804-512-8725
Fax Number :
Provider Business Practice Location Address
First Line : 4421 STUART ANDREW BLVD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28217-1589
Country : US
Telephone Number : 980-343-6960
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2026
Last Update Date : 05/07/2026

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Directions to “ JENNIFER LORRAINE ” Practice Location

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