Individual
LORI L EDMONDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4130 DUTCHMANS LN, SUITE 300, LOUISVILLE, KY 40207-4713
(502) 897-1794
(502) 238-1286
Mailing address
4130 DUTCHMANS LN, SUITE 300, LOUISVILLE, KY 40207-4713
(502) 897-1794
(502) 238-1286
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3004706
KY
363L00000X
Nurse Practitioner
71005529A
IN
363L00000X
Nurse Practitioner
71005529B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201078540
—
IN
05
—
7100145280
—
KY
Enumeration date
12/29/2005
Last updated
10/17/2016
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