Provider Demographics
NPI:1518124874
Name:HOWARD, LORI BINGHAM (APRN FNP)
Entity Type:Individual
Prefix:MRS
First Name:LORI
Middle Name:BINGHAM
Last Name:HOWARD
Suffix:
Gender:F
Credentials:APRN FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2252
Mailing Address - Street 2:
Mailing Address - City:HAZARD
Mailing Address - State:KY
Mailing Address - Zip Code:41702-2252
Mailing Address - Country:US
Mailing Address - Phone:606-435-1184
Mailing Address - Fax:
Practice Address - Street 1:210 BLACK GOLD BLVD
Practice Address - Street 2:SUITE 108
Practice Address - City:HAZARD
Practice Address - State:KY
Practice Address - Zip Code:41701-2620
Practice Address - Country:US
Practice Address - Phone:606-487-0885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-22
Last Update Date:2012-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3004976363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily