Individual
LORI L PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1100 S JACKSON HWY, SUITE 259, SHEFFIELD, AL 35660-5769
(256) 766-2600
(256) 381-1251
Mailing address
1100 S JACKSON HWY, SUITE 259, SHEFFIELD, AL 35660-5769
(256) 766-5762
(256) 381-1251
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-075990
AL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
1-075990
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051559119
MEDICARE
AL
01
—
510 05022
BCBS AL
AL
05
—
891013940
—
AL
Enumeration date
09/16/2006
Last updated
08/30/2023
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