Provider Demographics
NPI:1730472226
Name:SETZER, LORI TUTTEROW (RPH)
Entity Type:Individual
Prefix:MRS
First Name:LORI
Middle Name:TUTTEROW
Last Name:SETZER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5720 SHAMROCK GLEN LN
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27023-8632
Mailing Address - Country:US
Mailing Address - Phone:336-817-7582
Mailing Address - Fax:
Practice Address - Street 1:309 E CENTER ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NC
Practice Address - Zip Code:27292-4107
Practice Address - Country:US
Practice Address - Phone:336-236-4805
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-17
Last Update Date:2011-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8480183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist