Pippen, Lori Marie
Pippen, Lori Marie is an individual health care provider with primary practice located at 1710 Moores Ln , Texarkana TX 75503-1858. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Pippen, Lori Marie can be contacted via phone (903) 794-2705.Contact Information
Primary practice address
1710 Moores Ln
Texarkana TX 75503-1858
Phone: (903) 794-2705
Fax: (903) 793-0058
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | OTR1547 | Arkansas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 109611 | Texas |
Profile Details
| NPI number | 1720160070 |
|---|---|
| LBN Legal business name | Pippen, Lori Marie |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Jul 6th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720160070 | NPPES |
| Texas | MEDICAID | 021289601 |
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