Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lori Anne Tackman, MD

Individual provider Pediatrics Physician · NPI 1497752968

Lori Anne Tackman, MD is a Pediatrics Physician in Supply, North Carolina. Works from 3 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

20 Medical Campus Dr NW Ste 205
Supply, NC 28462
Phone: (910) 721-4400
Fax: (910) 721-4409
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 97 Cornerstone Dr, Cary, NC 27519-8403 — (919) 460-0993
  • 97 Cornerstone Dr, Cary, NC 27519-8403 — (919) 460-0993

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 2000-00146 (NC)

Record details

NPI number1497752968
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 30, 2005
Last updated in NPPESOctober 26, 2020
Certification dateSeptember 6, 2020
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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