Provider Demographics
NPI:1942405642
Name:FISHER, LORI SUE (MSN, FNP-C)
Entity Type:Individual
Prefix:MS
First Name:LORI
Middle Name:SUE
Last Name:FISHER
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 MARSH SIDE DR
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31410-2447
Mailing Address - Country:US
Mailing Address - Phone:912-897-8797
Mailing Address - Fax:912-897-8797
Practice Address - Street 1:322 COMMERCIAL DR
Practice Address - Street 2:SUITE 2
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-3625
Practice Address - Country:US
Practice Address - Phone:912-355-2335
Practice Address - Fax:912-355-2301
Is Sole Proprietor?:No
Enumeration Date:2007-06-20
Last Update Date:2011-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN173097163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice