Individual provider · Type 1 NPI
Lori Copple Pardue, PAC
Surgical Physician Assistant · New Bern, NC
NPI number
1093758930
Active
Practice location
2000 Neuse Blvd
New Bern, NC 28560-3449
Mailing address
107 Biel Ln
New Bern, NC 28562-8998
Other practice locations
- 1414 Medical Center Dr, Wilmington, NC 28401-7505 · (910) 763-7363
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 101528 (NC) |
| Surgical Physician Assistant Primary | 363AS0400X | 101528 (NC) |
Surgical Physician Assistant: Definition to come...
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About NPI 1093758930
Lori Copple Pardue, PAC's National Provider Identifier is 1093758930, issued on Jun 14, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New Bern, NC. The record was last updated on Mar 17, 2018.