Healthcare Provider Details

I. General information

NPI: 1902730989
Provider Name (Legal Business Name): LORA L PITMAN RT (R)
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 RIDGE TRL
CHAPEL HILL NC
27516-1638
US

IV. Provider business mailing address

140 RIDGE TRL
CHAPEL HILL NC
27516-1638
US

V. Phone/Fax

Practice location:
  • Phone: 919-339-8280
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2471C3402X
TaxonomyRadiography Radiologic Technologist
License Number390127
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: