Healthcare Provider Details

I. General information

NPI: 1437455334
Provider Name (Legal Business Name): LORRAINE M ARCHER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2011
Last Update Date: 01/29/2023
Certification Date: 01/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 PARKVIEW DR
LAURENS SC
29360-2652
US

IV. Provider business mailing address

50 S B B KING BLVD STE 100
MEMPHIS TN
38103-9802
US

V. Phone/Fax

Practice location:
  • Phone: 864-984-0571
  • Fax: 864-984-3610
Mailing address:
  • Phone: 866-949-0108
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4262
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: