MEDICARE: MRS. LORI JEAN PEARSON APRN, NP-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	APRN.CNP.022831	OH

General Provider Information

NPI Number	:	1922592815
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LORI JEAN PEARSON APRN, NP-C

Provider Business Mailing Address
First Line	:	235 W NATIONAL RD
Second Line	:
City	:	VANDALIA
State	:	OH
Zip	:	45377-1969
Country	:	US
Telephone Number	:	937-531-0113
Fax Number	:	937-531-0123

Provider Business Practice Location Address
First Line	:	235 W NATIONAL RD
Second Line	:
City	:	VANDALIA
State	:	OH
Zip	:	45377-1969
Country	:	US
Telephone Number	:	937-531-0113
Fax Number	:	937-531-0123

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

Provider Enumeration Date	:	06/14/2018
Last Update Date	:	04/06/2026

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