MEDICARE: DR. LORI MCMAHAN STEPP DNP, APRN, FNP-C

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	363LF0000X	Family Nurse Practitioner	902571	MS
2	363LF0000X	Family Nurse Practitioner	23876	TN

General Provider Information

NPI Number	:	1801397096
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LORI MCMAHAN STEPP DNP, APRN, FNP-C

Provider Business Mailing Address
First Line	:	3504 LAKE DISTRICT DR W STE 101
Second Line	:
City	:	LAKELAND
State	:	TN
Zip	:	38002-1186
Country	:	US
Telephone Number	:	901-295-0036
Fax Number	:	901-430-9372

Provider Business Practice Location Address
First Line	:	3504 LAKE DISTRICT DR W STE 101
Second Line	:
City	:	LAKELAND
State	:	TN
Zip	:	38002-1186
Country	:	US
Telephone Number	:	901-295-0036
Fax Number	:

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

Provider Enumeration Date	:	02/23/2018
Last Update Date	:	03/05/2026

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