Provider Demographics
NPI:1558328856
Name:MOSELEY, LORI C (DNP, FNP-BC, CDE)
Entity Type:Individual
Prefix:MRS
First Name:LORI
Middle Name:C
Last Name:MOSELEY
Suffix:
Gender:F
Credentials:DNP, FNP-BC, CDE
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:RENEE
Other - Last Name:CARNES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:333 LANCASTER BYP E
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:SC
Mailing Address - Zip Code:29720-4758
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:333 LANCASTER BYP E
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:SC
Practice Address - Zip Code:29720-4758
Practice Address - Country:US
Practice Address - Phone:866-389-2727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-28
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2157363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCAPRN2157OtherNURSING LICENSE
SCDPE051Medicaid
Q33629Medicare UPIN
SC3827Medicare ID - Type Unspecified