MEDICARE: DR. LORI ABEL MEYERHOFFER M.D.

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
1	207R00000X	Internal Medicine Physician	NC 98-01577	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1231N	OTHER		BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588642037
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LORI ABEL MEYERHOFFER M.D.

Provider Business Mailing Address
First Line	:	512 E DAVIE ST
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27601-1918
Country	:	US
Telephone Number	:	919-832-2400
Fax Number	:	919-832-5151

Provider Business Practice Location Address
First Line	:	512 E DAVIE ST
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27601-1918
Country	:	US
Telephone Number	:	919-832-2400
Fax Number	:	919-832-5151

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2006
Last Update Date	:	03/07/2023

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