Individual
LORI HA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
620 CHESSIE STA, APEX, NC 27502-2568
(984) 313-9582
Mailing address
620 CHESSIE STA, APEX, NC 27502-2568
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414033
VA
122300000X
Dentist
14426
NC
122300000X
Dentist
9965
KY
1223G0001X
General Practice Dentistry
DE60830459
WA
Other
Enumeration date
07/08/2013
Last updated
11/24/2025
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