Individual
LORI MULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1980 HOLTON AVE E STE 301, BIG STONE GAP, VA 24219-3367
(276) 523-8973
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110010658
VA
363A00000X
Physician Assistant
6830
TN
Other
Enumeration date
07/08/2025
Last updated
02/16/2026
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