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NPI Code Detail

MEDICARE: LORI G GILBERT O.T.

MEDICARE: LORI G GILBERT O.T.
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
1225X00000XOccupational TherapistOT001994GA

General Provider Information

NPI Number : 1740418524
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORI G GILBERT O.T.
Provider Business Mailing Address
First Line : 3708 NORTHSIDE DR
Second Line :
City : MACON
State : GA
Zip : 31210-2404
Country : US
Telephone Number : 478-745-4206
Fax Number : 478-254-5463
Provider Business Practice Location Address
First Line : 3708 NORTHSIDE DR
Second Line :
City : MACON
State : GA
Zip : 31210-2404
Country : US
Telephone Number : 478-745-4206
Fax Number : 478-832-6506
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2009
Last Update Date : 03/02/2026

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