Individual
LORI BRAUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1307 W MAIN ST, MEDFORD, OR 97501-2936
(541) 535-6239
(541) 512-1026
Mailing address
931 CHEVY WAY, MEDFORD, OR 97504-4127
(541) 690-3555
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201407917NP-PP
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/28/2014
Last updated
01/23/2020
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