Healthcare Provider Details

I. General information

NPI: 1952842031
Provider Name (Legal Business Name): LORI A HANSFORD C.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2017
Last Update Date: 03/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1251 SW ARROWHEAD RD STE D
TOPEKA KS
66604-4061
US

IV. Provider business mailing address

1251 SW ARROWHEAD RD STE D
TOPEKA KS
66604-4061
US

V. Phone/Fax

Practice location:
  • Phone: 785-215-6688
  • Fax: 785-286-7761
Mailing address:
  • Phone: 785-215-6688
  • Fax: 785-286-7761

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code222Z00000X
TaxonomyOrthotist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: