Lori Anne Tackman is a Pediatrics in Supply, North Carolina. Lori Anne Tackman practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Lori Anne Tackman is 1497752968. The last update date is 2020-10-26.
Lori Anne Tackman's current location address is 20 Medical Campus Dr Nw Ste 205, Supply, North Carolina. You can contact this provider via phone number 9107214400 and fax number 9107214409. The mailing address for Lori Anne Tackman is 20 Medical Campus Dr Nw Ste 205, Supply, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lori Anne Tackman |
|---|---|
| Address | 20 Medical Campus Dr Nw Ste 205, Supply, North Carolina |
| Phone Number | 9107214400 |
| Fax Number | 9107214409 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1497752968 |
|---|---|
| Provider Enumeration Date | 2005-06-30 |
| Last Updated Date | 2020-10-26 |
Provider Mailing Address Detail
| Address | 20 Medical Campus Dr Nw Ste 205 |
|---|---|
| City | Supply |
| State | North Carolina (NC) |
| Post Code | 284620 |
| Phone Number | 9107214400 |
| Fax Number | 9107214409 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 2000-00146 |
|
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 126WX | NC | BCBS | |
| 89126WX | NC | -- |
Post Comment/ Review Below
What is the Lori Anne Tackman's 1497752968?
The Lori Anne Tackman's NPI (National Provider Identifier) Number is 1497752968. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Lori Anne Tackman's physical address?
The Lori Anne Tackman is physically located at 20 Medical Campus Dr Nw Ste 205, in the city of Supply, NC, with the postal code 284620.
What is Lori Anne Tackman's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lori Anne Tackman is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.
When did the Lori Anne Tackman receive its 1497752968?
The Lori Anne Tackman was issued its 1497752968 on 2005-06-30, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Lori Anne Tackman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Lori Anne Tackman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-10-26.
NPI Number: 1942206313
Address: 1250 N Wenatchee Ave Suite H Pmb 352, Wenatchee, WA