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NPI Code Detail

MEDICARE: LORI EGAN JOSEPHS BS, CADC

MEDICARE: LORI EGAN JOSEPHS BS, CADC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1134718273
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORI EGAN JOSEPHS BS, CADC
Provider Business Mailing Address
First Line : 1423 FIELD ST
Second Line :
City : DETROIT
State : MI
Zip : 48214-2321
Country : US
Telephone Number : 313-825-2506
Fax Number :
Provider Business Practice Location Address
First Line : 1423 FIELD ST
Second Line :
City : DETROIT
State : MI
Zip : 48214-2321
Country : US
Telephone Number : 248-953-8426
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2021
Last Update Date : 12/11/2025

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