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NPI Code Detail

MEDICARE: LORI E CARNAHAN

MEDICARE:   LORI E CARNAHAN
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
1101YP2500XProfessional Counselor180005933IL

General Provider Information

NPI Number : 1396844833
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORI E CARNAHAN
Provider Business Mailing Address
First Line : 224 N LOMBARD AVE
Second Line :
City : LOMBARD
State : IL
Zip : 60148-2011
Country : US
Telephone Number : 630-376-6148
Fax Number :
Provider Business Practice Location Address
First Line : 111 N COUNTY FARM RD
Second Line :
City : WHEATON
State : IL
Zip : 60187-3977
Country : US
Telephone Number : 630-221-7547
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2006
Last Update Date : 04/17/2025

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Directions to “ LORI E CARNAHAN ” Practice Location

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