Individual
MRS. LORI ANNE HAGAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
514 W ATLANTIC ST, SOUTH HILL, VA 23970-1906
(434) 584-2000
(434) 447-2240
Mailing address
514 W ATLANTIC ST, SOUTH HILL, VA 23970-1906
(434) 584-2000
(434) 447-2240
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024169296
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699074567
NPI
VA
05
—
1699074567
—
VA
Enumeration date
03/17/2011
Last updated
02/07/2017
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