Individual
LORI M DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, ANP-BC
Contact information
Practice address
419 COOLIDGE AVE, STATESVILLE, NC 28677-3301
(704) 872-5019
(704) 872-5019
Mailing address
419 COOLIDGE AVE, STATESVILLE, NC 28677-3301
(704) 872-5019
(704) 872-5019
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5003998
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2330194
MEDICARE PTAN
NC
Enumeration date
05/29/2008
Last updated
11/12/2008
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