Provider Demographics
NPI:1962390807
Name:BARTON, LORI ANN
Entity type:Individual
Prefix:MS
First Name:LORI
Middle Name:ANN
Last Name:BARTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:ANN
Other - Last Name:EDGEMON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:59321 431ST AVE NW
Mailing Address - Street 2:
Mailing Address - City:KENMARE
Mailing Address - State:ND
Mailing Address - Zip Code:58746-6404
Mailing Address - Country:US
Mailing Address - Phone:701-334-9638
Mailing Address - Fax:
Practice Address - Street 1:59321 431ST AVE NW
Practice Address - Street 2:
Practice Address - City:KENMARE
Practice Address - State:ND
Practice Address - Zip Code:58746-6404
Practice Address - Country:US
Practice Address - Phone:701-334-9638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker