Provider Demographics
NPI:1477933810
Name:TURNER, LORI (NP-C)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:TURNER
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:
Other - Last Name:HAMPTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP-C
Mailing Address - Street 1:32 RIVER ST
Mailing Address - Street 2:
Mailing Address - City:PEAK
Mailing Address - State:SC
Mailing Address - Zip Code:29122-1100
Mailing Address - Country:US
Mailing Address - Phone:803-945-7475
Mailing Address - Fax:803-945-0000
Practice Address - Street 1:32 RIVER ST
Practice Address - Street 2:
Practice Address - City:PEAK
Practice Address - State:SC
Practice Address - Zip Code:29122-1100
Practice Address - Country:US
Practice Address - Phone:803-945-7475
Practice Address - Fax:803-945-0000
Is Sole Proprietor?:No
Enumeration Date:2015-06-01
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC25784363LA2200X
TN19846363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ013485Medicaid