MEDICARE: DR. LORI DUNN D.O.

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	207L00000X	Anesthesiology Physician	05-00555IL	PA
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	61966	GA
3	208VP0000X	Pain Medicine Physician	05-00555IL	PA
4	208VP0014X	Interventional Pain Medicine Physician	61966	GA

Other Identifiers

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

General Provider Information

NPI Number	:	1619976578
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LORI DUNN D.O.

Provider Business Mailing Address
First Line	:	1023 HOLTS FERRY
Second Line	:
City	:	GREENSBORO
State	:	GA
Zip	:	30642
Country	:	US
Telephone Number	:	717-418-0649
Fax Number	:	706-453-7180

Provider Business Practice Location Address
First Line	:	1023 HOLTS FERRY
Second Line	:
City	:	GREENSBORO
State	:	GA
Zip	:	30642
Country	:	US
Telephone Number	:	717-418-0649
Fax Number	:	706-453-7180

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

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	10/21/2011

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Directions to “ DR. LORI DUNN D.O.” Practice Location

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