Provider Demographics
NPI:1427513522
Name:ARBOGAST, LORI D (MSN, RN)
Entity type:Individual
Prefix:MRS
First Name:LORI
Middle Name:D
Last Name:ARBOGAST
Suffix:
Gender:F
Credentials:MSN, RN
Other - Prefix:MRS
Other - First Name:LORI
Other - Middle Name:D
Other - Last Name:ZIRKLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1794 LETART RD
Mailing Address - Street 2:
Mailing Address - City:POINT PLEASANT
Mailing Address - State:WV
Mailing Address - Zip Code:25550
Mailing Address - Country:US
Mailing Address - Phone:304-593-2068
Mailing Address - Fax:
Practice Address - Street 1:1794 LETART RD
Practice Address - Street 2:
Practice Address - City:POINT PLEASANT
Practice Address - State:WV
Practice Address - Zip Code:25550
Practice Address - Country:US
Practice Address - Phone:304-593-2068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-04
Last Update Date:2019-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV64450163W00000X
OH316911163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse