MS. LORI LANDRETH CPNP-PC NPI 1790196244

NPI Information

NPI: 1790196244
Provider Name: MS. LORI LANDRETH, CPNP-PC
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
1275 HAWTHORN RD
SALEM, IL
ZIP 62881
Phone: (618) 548-4590
Get Directions

MS. Lori Landreth, CPNP-PC is a pediatrics nurse practitioner in Salem, IL. MS. Lori Landreth, CPNP-PC NPI is 1790196244. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1275 HAWTHORN RD
SALEM, IL
ZIP 62881-028
Phone: (618) 548-4590
Fax: (618) 548-8275

The enumeration date for this NPI number is 5/17/2014 and was last updated on 5/17/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	209.011381	TEXAS	Yes
2	363LP0200X	Nurse Practitioner	Pediatrics	ARNP9382830	FLORIDA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	HU297Z	OTHER	FLORIDA	MEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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