Provider Demographics
NPI:1588642037
Name:MEYERHOFFER, LORI ABEL (MD)
Entity Type:Individual
Prefix:DR
First Name:LORI
Middle Name:ABEL
Last Name:MEYERHOFFER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LORI
Other - Middle Name:CHERAL
Other - Last Name:ABEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:512 E DAVIE ST
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27601-1918
Mailing Address - Country:US
Mailing Address - Phone:919-832-2400
Mailing Address - Fax:919-832-5151
Practice Address - Street 1:512 E DAVIE ST
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27601-1918
Practice Address - Country:US
Practice Address - Phone:919-832-2400
Practice Address - Fax:919-832-5151
Is Sole Proprietor?:No
Enumeration Date:2006-01-05
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNC 98-01577207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
1231NOtherBLUE CROSS BLUE SHIELD
NC5904974Medicaid
NC5904974Medicaid
BA4606286OtherDEA