Lodge, Lori
Lodge, Lori is an sole proprietor health care provider with primary practice located at 2971 E Copper Point Dr Suite 100, Meridian ID 83642-5101. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Lodge, Lori can be contacted via phone (208) 376-5683.Contact Information
Primary practice address
2971 E Copper Point Dr Suite 100
Meridian ID 83642-5101
Phone: (208) 376-5683
Fax: (208) 376-5690
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2907 | Idaho |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 2929 | Idaho |
Profile Details
NPI number | 1508008871 |
---|---|
LBN Legal business name | Lodge, Lori |
Credentials | LCPC LMFT |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 1st, 2009 |
Last updated | Apr 1st, 2009 - about 15 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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