Individual
LORI A. URBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., HSPP
Contact information
Practice address
545 RAY C HUNT DR STE 316, CHARLOTTESVILLE, VA 22903-2981
(434) 243-5676
(434) 243-5689
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810005161
VA
207LP2900X
Pain Medicine (Anesthesiology) Physician
0810005161
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200504390
—
IN
Enumeration date
06/14/2005
Last updated
08/10/2023
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