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Individual
MRS. LORI PUTNAM PAYNE
Active
Individual
MRS. LORI PUTNAM PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C/APRN
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
20152
SC
363L00000X
Nurse Practitioner
Primary
20152
SC
Other
Enumeration date
04/29/2016
Last updated
04/27/2026
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