Provider Demographics
NPI:1225072101
Name:HAWKINS, LORI K (LPA)
Entity Type:Individual
Prefix:MRS
First Name:LORI
Middle Name:K
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:LPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2807 NEUSE BLVD
Mailing Address - Street 2:STE 5
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-2815
Mailing Address - Country:US
Mailing Address - Phone:252-636-0112
Mailing Address - Fax:252-634-9778
Practice Address - Street 1:2807 NEUSE BLVD
Practice Address - Street 2:STE 5
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-2815
Practice Address - Country:US
Practice Address - Phone:252-636-0112
Practice Address - Fax:252-634-9778
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1861103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6107022Medicaid
NC046M0OtherBCBS