Individual provider · Type 1 NPI

Lori Moton, AGPCNP-BC

Gerontology Nurse Practitioner · Urbana, IL

NPI number 1154878098 Active

Practice location

1109 S Lincoln Ave
Urbana, IL 61801-4703

Fax (217) 244-6495

Specialties and licenses

TaxonomyCodeLicense
Home Health Registered Nurse 163WH0200X041341511 (IL)
Gerontology Nurse Practitioner Primary 363LG0600X277003668 (IL)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1154878098

Lori Moton, AGPCNP-BC's National Provider Identifier is 1154878098, issued on Sep 8, 2016. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Urbana, IL. The record was last updated on Aug 20, 2025.