MEDICARE: LORA L PITMAN RT (R)

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	2471C3402X	Radiography Radiologic Technologist	390127	NC

General Provider Information

NPI Number	:	1902730989
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORA L PITMAN RT (R)

Provider Business Mailing Address
First Line	:	140 RIDGE TRL
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27516-1638
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	140 RIDGE TRL
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27516-1638
Country	:	US
Telephone Number	:	919-339-8280
Fax Number	:

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

Provider Enumeration Date	:	06/12/2026
Last Update Date	:	06/12/2026

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