Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | 15033 | OH |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | COA.15033 | OH |
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 15033 | OH |
NPI | 1396178349 |
---|---|
Provider Name | Mrs. Lori Danielle Pickard |
First Address | Dublin, OH 43017-8697 |
Second Address | Columbus, OH 43205-2664 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2013 |
Last Update Date | 22/01/2015 |