Provider Demographics
NPI:1043423544
Name:TAYLOR, LORI B (OGNP)
Entity Type:Individual
Prefix:MRS
First Name:LORI
Middle Name:B
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:OGNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5009 TIMS RD
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27803-8491
Mailing Address - Country:US
Mailing Address - Phone:252-446-8601
Mailing Address - Fax:
Practice Address - Street 1:214 S BARNES ST
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:NC
Practice Address - Zip Code:27856-1204
Practice Address - Country:US
Practice Address - Phone:252-459-9819
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC129013163WP1700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP1700XNursing Service ProvidersRegistered NursePerinatal
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCZF0000152Medicaid