Individual
LORIE OWENS COSTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1455 25TH AVENUE DR NE, HICKORY, NC 28601-9677
(828) 322-4453
(828) 324-9295
Mailing address
1455 25TH AVENUE DR NE, HICKORY, NC 28601-9677
(828) 322-4453
(828) 324-9295
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
121531
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295729747
—
NC
Enumeration date
01/12/2021
Last updated
01/12/2021
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