1457665978 NPI number — MS. LORI ANNE KATZIN PLUMB LMT

Table of content: MS. LORI ANNE KATZIN PLUMB LMT (NPI 1457665978)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457665978 NPI number — MS. LORI ANNE KATZIN PLUMB LMT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KATZIN PLUMB
Provider First Name:
LORI
Provider Middle Name:
ANNE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LMT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
KATZIN
Provider Other First Name:
LORI
Provider Other Middle Name:
ANNE
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
LMT
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1457665978
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/27/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1117 E MAIN ST
Provider Second Line Business Mailing Address:
HANDS ON HEALTH
Provider Business Mailing Address City Name:
MEDFORD
Provider Business Mailing Address State Name:
OR
Provider Business Mailing Address Postal Code:
97504-7404
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
541-821-5202
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1117 E MAIN ST
Provider Second Line Business Practice Location Address:
HANDS ON HEALTH
Provider Business Practice Location Address City Name:
MEDFORD
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97504-7404
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-821-5202
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/27/2010

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225700000X , with the licence number:  4730 , registered in the state of OR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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