Individual
LORI BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
180 COASTAL LN, JACKSONVILLE, NC 28546-6761
(910) 385-4791
Mailing address
180 COASTAL LN, JACKSONVILLE, NC 28546-6761
(910) 385-4791
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
91202
NC
164W00000X
Licensed Practical Nurse
LPN.091158.MEDS-IV
OH
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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