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NPI Code Detail

MEDICARE: MS. LORI B BRYANT

MEDICARE:  MS. LORI B BRYANT
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
1104100000XSocial Worker
2171M00000XCase Manager/Care Coordinator

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316068513
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LORI B BRYANT
Provider Business Mailing Address
First Line : PO BOX 1603
Second Line :
City : CLAYTON
State : NC
Zip : 27528-1603
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2881 E OAKLAND PARK BLVD
Second Line : SUITE 317
City : WILTON MANORS
State : FL
Zip : 33306-1813
Country : US
Telephone Number : 954-315-1762
Fax Number : 954-315-1763
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2007
Last Update Date : 06/26/2011

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Directions to “ MS. LORI B BRYANT ” Practice Location

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