Dixon, Lori M

Dixon, Lori M is an individual health care provider with primary practice located at 419 Coolidge Ave , Statesville NC 28677-3301. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Dixon, Lori M can be contacted via phone (704) 872-5019.

Contact Information

Primary practice address
419 Coolidge Ave Statesville NC 28677-3301
Phone: (704) 872-5019
Fax: (704) 872-5019
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 5003998 North Carolina

Profile Details

NPI number 1164680856
LBN Legal business name Dixon, Lori M
Credentials RN, MSN, ANP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2008
Last updated Nov 12th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164680856 NPPES
North Carolina Other 2330194 MEDICARE PTAN

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