Faircloth, Lora R
Faircloth, Lora R is an individual health care provider with primary practice located at 2930 Village Dr , Fayetteville NC 28304-3815. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Faircloth, Lora R can be contacted via phone (910) 323-9010.Contact Information
Primary practice address
2930 Village Dr
Fayetteville NC 28304-3815
Phone: (910) 323-9010
Fax: (910) 323-9568
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 6157 | North Carolina |
Profile Details
| NPI number | 1700888302 |
|---|---|
| LBN Legal business name | Faircloth, Lora R |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700888302 | NPPES |
| New York | Other | B9972 | MEDCOST |
| New York | Other | 078PK | MEDCOST |
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