LORI CHARBONNEAU NNP
NPI 1932570330
Nurse Practitioner - Neonatal in Traverse City, MI

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LN0000X and a focus in Neonatal.

Active since October 12, 2015

1105 SIXTH ST, TRAVERSE CITY, MI 49684(231) 935-5000 Get Directions Write a Review

NPPES record last updated: March 29, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Lori Charbonneau Nnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LORI CHARBONNEAU NNP (NPI 1932570330) is an individual neonatal provider in Traverse City, Michigan, licensed in Michigan (4704118878) and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1932570330

Entity TypeIndividualFemale

Primary Taxonomy363LN0000X

Provider Legal NameLORI CHARBONNEAUCredential: NNP

Location Address1105 SIXTH STTraverse City, MI 49684-2349

Mailing Address2513 Momentum PlChicago, IL 60689-5325 · (231) 876-7476

Phone(231) 935-5000

Sole ProprietorNo

Enumeration DateOctober 12, 2015

Last NPPES UpdateMarch 29, 2017

✔ NPI 1932570330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LN0000X

License✔ Licensed in MI · 4704118878

1105 SIXTH ST, Traverse City, MI 49684

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Priority Health.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AMY DENISE ROBERTSON MD

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