Individual
LORI ELLEN SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6758
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16275
BCBSNC
NC
01
—
30109419
SELECT HEALTH OF SC
SC
05
—
7413338
—
NC
01
—
772523
WELLCARE
SC
01
—
9872818
AENTA
—
01
—
P01506624
RAILROAD MEDICARE
NC
05
—
SAN083
—
SC
Enumeration date
04/24/2007
Last updated
11/07/2025
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