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NPI Code Detail

MEDICARE: MRS. LORI SMITH SLP

MEDICARE:  MRS. LORI  SMITH  SLP
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
1235Z00000XSpeech-Language Pathologist22004655AIN

General Provider Information

NPI Number : 1730331893
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LORI SMITH SLP
Provider Business Mailing Address
First Line : 4851 TINCHER RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46221-3780
Country : US
Telephone Number : 317-856-4851
Fax Number :
Provider Business Practice Location Address
First Line : 4851 TINCHER RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46221-3780
Country : US
Telephone Number : 317-856-4851
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2008
Last Update Date : 11/21/2012

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Directions to “ MRS. LORI SMITH SLP” Practice Location

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