Healthcare Provider Details
I. General information
NPI: 1285097717
Provider Name (Legal Business Name): LINDSEY LOSINSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/01/2016
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
319 E DIVISION ST
ISHPEMING MI
49849-2005
US
IV. Provider business mailing address
16 LONGYEAR DR
NEGAUNEE MI
49866-9601
US
V. Phone/Fax
- Phone: 906-485-5501
- Fax:
- Phone: 989-600-3034
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225XP0200X |
| Taxonomy | Pediatric Occupational Therapist |
| License Number | 5201009457 |
| License Number State | MI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: