Provider Demographics
NPI:1417224643
Name:AKERS, LORI (APRN)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:AKERS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 MEDICAL CENTER DR
Mailing Address - Street 2:SUITE 2M
Mailing Address - City:HAZARD
Mailing Address - State:KY
Mailing Address - Zip Code:41701-9466
Mailing Address - Country:US
Mailing Address - Phone:606-487-1818
Mailing Address - Fax:606-487-8448
Practice Address - Street 1:200 MEDICAL CENTER DR
Practice Address - Street 2:SUITE 2M
Practice Address - City:HAZARD
Practice Address - State:KY
Practice Address - Zip Code:41701-9466
Practice Address - Country:US
Practice Address - Phone:606-487-1818
Practice Address - Fax:606-487-8448
Is Sole Proprietor?:No
Enumeration Date:2011-11-16
Last Update Date:2013-12-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY3007235363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100222700Medicaid