Individual
ELIZABETH D. LORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 NASH MEDICAL ARTS MALL, ROCKY MOUNT, NC 27804-1400
(252) 451-3100
(252) 451-3141
Mailing address
840 OLD COUNTY HOME RD, NASHVILLE, NC 27856-9171
(252) 459-3100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103067
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P21267
UPIN
—
Enumeration date
05/14/2008
Last updated
02/22/2011
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