Individual
DR. LORI ANNE FARABAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
16747 US HIGHWAY 17 N STE 140, HAMPSTEAD, NC 28443-3086
(910) 507-2019
(910) 363-0342
Mailing address
101 DRAKE RD, HAMPSTEAD, NC 28443-2550
(856) 495-0031
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2149
NC
152W00000X
Optometrist
OEG01718
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770685372
—
NC
01
—
2248
AETNA HMO
PA
Enumeration date
09/02/2006
Last updated
01/27/2020
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