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NPI Code Detail

MEDICARE: DR. LORI ANNES PH.D. PT

MEDICARE: DR. LORI ANNES PH.D. PT
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
12251P0200XPediatric Physical TherapistPT 9812CA

General Provider Information

NPI Number : 1720204365
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LORI ANNES PH.D. PT
Provider Business Mailing Address
First Line : 3638 MOTOR AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90034-5702
Country : US
Telephone Number : 310-204-8999
Fax Number : 310-204-8916
Provider Business Practice Location Address
First Line : 3638 MOTOR AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90034-5702
Country : US
Telephone Number : 310-204-8999
Fax Number : 310-204-8916
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2007
Last Update Date : 07/08/2007

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