Lori Anne Wise is a Pediatrics in Roanoke, Virginia. Lori Anne Wise practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Lori Anne Wise is 1912096249. The last update date is 2022-08-08.
Lori Anne Wise's current location address is 4348 Electric Rd, Roanoke, Virginia. You can contact this provider via phone number 5407690976 and fax number 5408575386. The mailing address for Lori Anne Wise is 4348 Electric Rd, Roanoke, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lori Anne Wise |
|---|---|
| Address | 4348 Electric Rd, Roanoke, Virginia |
| Phone Number | 5407690976 |
| Fax Number | 5408575386 |
| Sole Proprietor | N |
| Credentials | CPNP |
NPI Number Detail
| NPI Number | 1912096249 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2022-08-08 |
Provider Mailing Address Detail
| Address | 4348 Electric Rd |
|---|---|
| City | Roanoke |
| State | Virginia (VA) |
| Post Code | 240180720 |
| Phone Number | 5407690976 |
| Fax Number | 5408575386 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 17778 |
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Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| NP2014 | SC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Lori Anne Wise by the Centers for Medicare & Medicaid Services?
The Lori Anne Wise has been assigned the NPI (National Provider Identifier) 1912096249 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Lori Anne Wise?
The Lori Anne Wise is situated at 4348 Electric Rd, in the city of Roanoke, state of VA, with the zip code 240180720.
What is the Lori Anne Wise's area of specialization and corresponding taxonomy classification?
The Lori Anne Wise's specialty field is Pediatrics, and it falls under the taxonomy code 363Lp0200X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1912096249 to Lori Anne Wise?
The Centers for Medicare & Medicaid Services assigned the 1912096249 to Lori Anne Wise on 2006-10-12.
As of what date were the Lori Anne Wise's details last updated?
The information pertaining to the Lori Anne Wise, including its address, specialty, and other details, was most recently updated on 2022-08-08.