MEDICARE: LORI D CARTEYN

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
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1508492687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORI D CARTEYN

Provider Business Mailing Address
First Line	:	06233 ST RT 127
Second Line	:
City	:	BRYAN
State	:	OH
Zip	:	43506
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	516 CENTER ST
Second Line	:
City	:	BRYAN
State	:	OH
Zip	:	43506-2334
Country	:	US
Telephone Number	:	816-615-2401
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2020
Last Update Date	:	10/19/2023

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Directions to “ LORI D CARTEYN ” Practice Location

Language	Start Address	Practice Location

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