Lori Anne Tackman
MD | Pediatrics | Female
Lori Anne Tackman, MD is a Supply, North Carolina based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Lori Anne Tackman is
20 Medical Campus Dr Nw Ste 205, Supply, North Carolina - 28462. She can be contacted on phone at
910-721-4400 and fax number 910-721-4409.
Lori Anne Tackman is a sole proprietor of her business.
NPI number (Unique professional ID) for Lori Anne Tackman is
1497752968 which was assigned by NPPES on 30 Jun, 2005 and it was last updated on 26 Oct, 2020.
Lori Anne Tackman license number is
2000-00146 for Pediatrics (208000000X) in North Carolina.
Lori Anne Tackman is a pediatrician who 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 chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Lori Anne Tackman basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Lori Anne Tackman |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Lori Anne Tackman address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 20 Medical Campus Dr Nw Ste 205
Supply, NC, 28462
United States |
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| Phone Number : | 910-721-4400 |
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| Fax Number : | 910-721-4409 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1497752968 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 30 Jun, 2005 |
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| Last Updated On : | 26 Oct, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lori Anne Tackman are as mentioned. Primary taxonomy code for Lori Anne Tackman, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 2000-00146 | NC |
Legacy Identifiers:
Other legacy medical identifiers of Lori Anne Tackman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 126WX | Other | NC | BCBS |
| 89126WX | MEDICAID | NC | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
97 CORNERSTONE DR,
CARY, NC, 27519-8403
United States | CARY, NC | 919-460-0993 |
97 CORNERSTONE DR,
CARY, NC, 27519-8403
United States | CARY, NC | 919-460-0993 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | ltackman736377@direct.novanthealth.org
| No affiliation |
|
| 97 CORNERSTONE DR,
CARY, NC, 27519-8403
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 60447
Charlotte, NC, 28260-0447
United States |
|---|
Business Location:
Patients can refer following map for directions to
Lori Anne Tackman practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.