Simon, Lori

Simon, Lori is an individual health care provider with primary practice located at 4339 Winston Ave Latonia Centre, Covington KY 41015-1739. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Simon, Lori can be contacted via phone (859) 835-2573.

Contact Information

Primary practice address
4339 Winston Ave Latonia Centre Covington KY 41015-1739
Phone: (859) 835-2573
Fax: (859) 727-6327
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 405 Kentucky
Behavioral Health & Social Service Providers / Professional 101YP2500X 105701 Kentucky

Profile Details

NPI number 1851483929
LBN Legal business name Simon, Lori
Credentials ED.D.P.C.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Jul 1st, 2016 - about 9 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 1851483929 NPPES
Kentucky Other 000000379463 ANTHEMBC/BS ID

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