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General NPI Number Information
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NPI Number | 1336165570
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Entity Type | Individual
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Provider Name | LISA MARIE LORELLI D.O.
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Gender | Female
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1000 S STERLING ST
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City | MORGANTON
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State | NC
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Zip | 28655-3938
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Country | US
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Telephone | 828-433-2567
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Fax | 828-433-2242
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Provider Business Mailing Address
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Address Line | 109 COAL CHUTE RD
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City | MORGANTON
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State | NC
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Zip | 28655-3953
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Country | US
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Telephone | 828-430-3271
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Fax | 828-430-3466
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 200500217
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License Number State | NC
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