Individual
MRS. LORI ANN EDGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN FNP-BC
Contact information
Practice address
1938 CHARLIE HALL BLVD, UNIT B, CHARLESTON, SC 29414-6099
(843) 402-0227
(843) 402-0232
Mailing address
1938 CHARLIE HALL BLVD, UNIT B, CHARLESTON, SC 29414-6099
(843) 402-0227
(842) 402-0232
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN 2541
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0875
—
SC
01
—
P00638337
RAILROAD MEDICARE ID-PRIOR TO 5/1/09
SC
01
—
P00820369
RAILROAD MEDICARE ID-RSFPN
SC
Enumeration date
12/21/2005
Last updated
09/05/2024
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