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NPI Code Detail

MEDICARE: MS. LORI ANN DRIVER LMSW, ACSW

MEDICARE: MS. LORI ANN DRIVER LMSW, ACSW
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
1101YM0800XMental Health Counselor6801066884MI

General Provider Information

NPI Number : 1962581389
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LORI ANN DRIVER LMSW, ACSW
Provider Business Mailing Address
First Line : 3830 PACKARD ST STE 250
Second Line :
City : ANN ARBOR
State : MI
Zip : 48108-2273
Country : US
Telephone Number : 734-975-2757
Fax Number : 734-975-2909
Provider Business Practice Location Address
First Line : 3830 PACKARD ST STE 250
Second Line :
City : ANN ARBOR
State : MI
Zip : 48108-2273
Country : US
Telephone Number : 734-975-2757
Fax Number : 734-975-2909
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2006
Last Update Date : 07/08/2007

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