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NPI Code Detail

MEDICARE: TERI M LORD MD

MEDICARE: TERI M LORD 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
1208M00000XHospitalist PhysicianME111426FL
2208M00000XHospitalist PhysicianMD.18694AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
114KH1OTHERFLBCBSFL
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659357945
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERI M LORD MD
Provider Business Mailing Address
First Line : 810 SAINT VINCENTS DR
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35205-1601
Country : US
Telephone Number : 800-566-5050
Fax Number : 317-583-3099
Provider Business Practice Location Address
First Line : 810 SAINT VINCENTS DR
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35205-1601
Country : US
Telephone Number : 800-566-5050
Fax Number : 317-583-3099
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2005
Last Update Date : 12/28/2016

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Directions to “ TERI M LORD MD” Practice Location

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