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NPI Code Detail

MEDICARE: MRS. LORI J CLANCY LPC

MEDICARE: MRS. LORI J CLANCY LPC
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
1101YP2500XProfessional Counselor5280NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457363046
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LORI J CLANCY LPC
Provider Business Mailing Address
First Line : PO BOX 444
Second Line :
City : MURPHY
State : NC
Zip : 28906-0444
Country : US
Telephone Number : 828-837-0071
Fax Number : 828-837-5309
Provider Business Practice Location Address
First Line : 91 TIMBERLANE RD
Second Line :
City : WAYNESVILLE
State : NC
Zip : 28786-7927
Country : US
Telephone Number : 828-454-1098
Fax Number : 877-346-1089
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2006
Last Update Date : 09/22/2014

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