Anderson, Lori Lynn

Anderson, Lori Lynn is an individual health care provider with primary practice located at 415 N Morain St , Kennewick WA 99336-2667. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Anderson, Lori Lynn can be contacted via phone (509) 735-6900.

Contact Information

Primary practice address
415 N Morain St Kennewick WA 99336-2667
Fax: (509) 735-6914
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CO61113406 Washington

Profile Details

NPI number 1730774720
LBN Legal business name Anderson, Lori Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2021
Last updated Mar 2nd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730774720 NPPES
Washington MEDICAID CO61113406

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