Provider Demographics
NPI:1396401626
Name:TURNAGE, LORI CAROLINE
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:CAROLINE
Last Name:TURNAGE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 GREENO RD N
Mailing Address - Street 2:
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-7314
Mailing Address - Country:US
Mailing Address - Phone:251-928-3125
Mailing Address - Fax:
Practice Address - Street 1:51 GREENO RD N
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-7314
Practice Address - Country:US
Practice Address - Phone:251-928-3125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-10
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL17684183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist