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Individual
MS. LORI COPPLE PARDUE
Active
Individual
MS. LORI COPPLE PARDUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
101528
NC
363AS0400X
Surgical Physician Assistant
Primary
101528
NC
Other
Enumeration date
06/14/2006
Last updated
03/17/2018
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