Lori Hartley, PA

NPI #1285849950 in Wallace, North Carolina

Provider Information

NPI Number: 1285849950
Entity Type: Individual
Name: Lori Hartley, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: May 14, 2007
Last Updated: Nov 1, 2010

Practice Location

Address: 120 MEDICAL VILLAGE DR
City: Wallace
State: North Carolina
ZIP Code: 28466-1660
Phone: (910) 285-2330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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