MEDICARE: MISS LORI ANN HILLOCK PMHNP-BC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	CNP251236	ME

General Provider Information

NPI Number	:	1023805314
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS LORI ANN HILLOCK PMHNP-BC

Provider Business Mailing Address
First Line	:	35 MEDICAL CENTER PKWY
Second Line	:
City	:	AUGUSTA
State	:	ME
Zip	:	04330-8160
Country	:	US
Telephone Number	:	207-248-0050
Fax Number	:	207-861-5233

Provider Business Practice Location Address
First Line	:	35 MEDICAL CENTER PKWY
Second Line	:
City	:	AUGUSTA
State	:	ME
Zip	:	04330-8160
Country	:	US
Telephone Number	:	207-248-0050
Fax Number	:	207-861-5233

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

Provider Enumeration Date	:	04/22/2025
Last Update Date	:	05/12/2026

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