MEDICARE: LORI R MORGAN 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	0028344	OH

General Provider Information

NPI Number	:	1902495195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORI R MORGAN PMHNP-BC

Provider Business Mailing Address
First Line	:	4601 RANDALL DR
Second Line	:
City	:	LIBERTY TWP
State	:	OH
Zip	:	45011-7309
Country	:	US
Telephone Number	:	513-292-3683
Fax Number	:

Provider Business Practice Location Address
First Line	:	4601 RANDALL DR
Second Line	:
City	:	LIBERTY TWP
State	:	OH
Zip	:	45011-7309
Country	:	US
Telephone Number	:	513-292-3683
Fax Number	:

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

Provider Enumeration Date	:	01/13/2021
Last Update Date	:	03/06/2026

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