LORI TACKMAN, MD

Pediatrics

Active Individual
NPI: 1497752968

Practice Address

20 MEDICAL CAMPUS DR NW STE 205
Supply, NC 28462

Phone: (910) 721-4400

Specialties

Specialty Code Primary License
Pediatrics 208000000X Yes 2000-00146 (NC)

Frequently Asked Questions

NPI 1497752968 is the National Provider Identifier for LORI TACKMAN, MD, a Pediatrics provider located in Supply, NC. This NPI was enumerated on June 30, 2005.
LORI TACKMAN, MD practices at 20 MEDICAL CAMPUS DR NW STE 205, Supply, NC 28462.

Quick Facts

NPI
1497752968
Type
Individual
Enumerated
Jun 30, 2005
Last Updated
Oct 26, 2020

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