Provider Demographics
NPI:1003468745
Name:CRAIG, LORI M (APRN-CNP)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:M
Last Name:CRAIG
Suffix:
Gender:
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2451 E BASELINE RD STE 425
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-0049
Mailing Address - Country:US
Mailing Address - Phone:480-494-2770
Mailing Address - Fax:480-849-4827
Practice Address - Street 1:1001 W MEMORIAL RD STE 112
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73114-2000
Practice Address - Country:US
Practice Address - Phone:405-509-6599
Practice Address - Fax:888-219-8102
Is Sole Proprietor?:No
Enumeration Date:2019-07-12
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SCAPN.23047363L00000X
OKR009034363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner