Individual
LORRIE HALVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4310 CLEARBROOK LN N, WILSON, NC 27896-8404
(252) 230-7901
Mailing address
4310 CLEARBROOK LN N, WILSON, NC 27896-8404
(252) 230-7901
(252) 991-6236
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6229
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135J4
BCBS
NC
05
—
7412057
—
NC
Enumeration date
04/19/2007
Last updated
03/08/2021
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