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NPI Code Detail

MEDICARE: LORI L GARRETT

MEDICARE: LORI L GARRETT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WP0808XPsychiatric/Mental Health Registered Nurse28108626AIN

General Provider Information

NPI Number : 1255262697
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORI L GARRETT
Provider Business Mailing Address
First Line : 2121 LAKE AVE
Second Line :
City : FORT WAYNE
State : IN
Zip : 46805-5100
Country : US
Telephone Number : 260-426-5431
Fax Number :
Provider Business Practice Location Address
First Line : 2121 LAKE AVE
Second Line :
City : FORT WAYNE
State : IN
Zip : 46805-5100
Country : US
Telephone Number : 260-426-5431
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2026
Last Update Date : 05/26/2026

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Directions to “ LORI L GARRETT ” Practice Location

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