MEDICARE: LORI ARMAGOST

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
1	172M00000X	Mechanotherapist	1804	NM

General Provider Information

NPI Number	:	1558687251
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORI ARMAGOST

Provider Business Mailing Address
First Line	:	814 FAYETTE ST
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87505-0930
Country	:	US
Telephone Number	:	505-470-1684
Fax Number	:

Provider Business Practice Location Address
First Line	:	814 FAYETTE ST
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87505-0930
Country	:	US
Telephone Number	:	505-470-1684
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2010
Last Update Date	:	04/20/2010

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Directions to “ LORI ARMAGOST ” Practice Location

Language	Start Address	Practice Location

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