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NPI Code Detail

MEDICARE: MRS. LORI A TIMBERLAKE APRN,BC

MEDICARE: MRS. LORI A TIMBERLAKE APRN,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
12084P0800XPsychiatry Physician09196OH
2363LF0000XFamily Nurse PractitionerNP 09196OH
3363LP0808XPsychiatric/Mental Health Nurse PractitionerNP09196OH

General Provider Information

NPI Number : 1831258383
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LORI A TIMBERLAKE APRN,BC
Provider Business Mailing Address
First Line : 140 E TOWN ST STE 1450
Second Line :
City : COLUMBUS
State : OH
Zip : 43215-6601
Country : US
Telephone Number : 614-334-6903
Fax Number :
Provider Business Practice Location Address
First Line : 3025 W BROAD ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43204-2653
Country : US
Telephone Number : 614-334-6903
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2006
Last Update Date : 03/05/2025

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