Frederickson, Lori Grimes
Frederickson, Lori Grimes is an sole proprietor health care provider with primary practice located at 3940 Prescott Rd , Baton Rouge LA 70805-5143. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Frederickson, Lori Grimes can be contacted via phone (225) 355-4461.Contact Information
Primary practice address
3940 Prescott Rd
Baton Rouge LA 70805-5143
Phone: (225) 355-4461
Fax: (225) 355-4488
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | Z10414 | Louisiana |
Profile Details
| NPI number | 1285850768 |
|---|---|
| LBN Legal business name | Frederickson, Lori Grimes |
| Credentials | L.O.T.R |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285850768 | NPPES |
| Louisiana | MEDICAID | 1317802 |
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