Provider Demographics
NPI:1033610316
Name:LORDI, MONICA WEBB (PA)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:WEBB
Last Name:LORDI
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Gender:F
Credentials:PA
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Mailing Address - Street 1:131 MEDICAL PARK RD STE 305
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-8525
Mailing Address - Country:US
Mailing Address - Phone:704-663-0006
Mailing Address - Fax:704-663-5224
Practice Address - Street 1:131 MEDICAL PARK RD STE 305
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-8525
Practice Address - Country:US
Practice Address - Phone:704-663-0006
Practice Address - Fax:704-663-5224
Is Sole Proprietor?:No
Enumeration Date:2018-02-22
Last Update Date:2020-09-09
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Provider Licenses
StateLicense IDTaxonomies
NC0010-07940363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant