Eaton, Lori Blanchard

Eaton, Lori Blanchard is an sole proprietor health care provider with primary practice located at 8821 Blakeney Professional Dr , Charlotte NC 28277-6594. 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. Eaton, Lori Blanchard can be contacted via phone (704) 887-1101.

Contact Information

Primary practice address
8821 Blakeney Professional Dr Charlotte NC 28277-6594
Phone: (704) 887-1101
Fax: (704) 887-1102
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 5005165 North Carolina

Profile Details

NPI number 1184916892
LBN Legal business name Eaton, Lori Blanchard
Credentials NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2011
Last updated Aug 4th, 2021 - about 4 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 1184916892 NPPES
North Carolina MEDICAID 7004981

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