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Individual

MRS. LORI SWINDLER DIXON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTRL

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1083
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10908
PARTNERS
NC
01
28697
BCBS
NC
05
7301660
NC
01
P00118118
RAILROAD MEDICARE
NC
Enumeration date
06/29/2007
Last updated
07/08/2007
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