Individual
LORI ANNE TACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20 MEDICAL CAMPUS DR NW STE 205, SUPPLY, NC 28462
(910) 721-4400
(910) 721-4409
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2000-00146
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126WX
BCBS
NC
05
—
89126WX
—
NC
Enumeration date
06/30/2005
Last updated
10/26/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us