MEDICARE: LORI THOMPSON

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	363L00000X	Nurse Practitioner	5009603	NC

General Provider Information

NPI Number	:	1316467749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORI THOMPSON

Provider Business Mailing Address
First Line	:	7780 BRIER CREEK PKWY STE 306
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27617-8831
Country	:	US
Telephone Number	:
Fax Number	:	883-941-3156

Provider Business Practice Location Address
First Line	:	7780 BRIER CREEK PKWY STE 306
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27617-8831
Country	:	US
Telephone Number	:	919-582-7272
Fax Number	:	833-947-3156

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

Provider Enumeration Date	:	06/27/2017
Last Update Date	:	08/07/2024

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Directions to “ LORI THOMPSON ” Practice Location

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