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Individual

MRS. LORI BLANCHARD EATON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
630 MATTHEWS TOWNSHIP PKWY, MATTHEWS, NC 28105-5322
(704) 495-6334
Mailing address
5960 FAIRVIEW RD STE 500, CHARLOTTE, NC 28210-3113
(704) 495-6334

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5005165
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7004981
NC
Enumeration date
05/12/2011
Last updated
05/07/2026
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