Provider Demographics
NPI:1922032184
Name:ATKINSON, LORI A (DC)
Entity Type:Individual
Prefix:DR
First Name:LORI
Middle Name:A
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7547 WATERSIDE LOOP RD
Mailing Address - Street 2:B
Mailing Address - City:DENVER
Mailing Address - State:NC
Mailing Address - Zip Code:28037-7678
Mailing Address - Country:US
Mailing Address - Phone:704-827-6560
Mailing Address - Fax:704-827-6717
Practice Address - Street 1:7547 WATERSIDE LOOP RD
Practice Address - Street 2:B
Practice Address - City:DENVER
Practice Address - State:NC
Practice Address - Zip Code:28037-7678
Practice Address - Country:US
Practice Address - Phone:704-827-6560
Practice Address - Fax:704-827-6717
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3429111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2458326Medicare ID - Type Unspecified