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Individual
LORI MICHELLE BEANE
Active
Individual
LORI MICHELLE BEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103275
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1212660021
DME
NC
01
—
970024899
RR MEDICARE
NC
Enumeration date
07/02/2006
Last updated
10/04/2016
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