Individual
MS. LORI DANIELLE WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
8243 MEADOWBRIDGE RD, MECHANICSVILLE, VA 23116-2329
(804) 730-1481
(804) 730-8464
Mailing address
8243 MEADOWBRIDGE RD, MECHANICSVILLE, VA 23116-2329
(804) 730-1481
(804) 730-8464
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024168771
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06115
GROUP PTAN
VA
Enumeration date
09/01/2010
Last updated
06/14/2013
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