1518032473 NPI number — MS. LOIS LAMONICA NORTON PT

Table of content: MS. LOIS LAMONICA NORTON PT (NPI 1518032473)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518032473 NPI number — MS. LOIS LAMONICA NORTON PT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NORTON
Provider First Name:
LOIS
Provider Middle Name:
LAMONICA
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
PT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1518032473
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
825 WASHINGTON ST
Provider Second Line Business Mailing Address:
STE 280 PHYSICAL THERAPY & SPORTS REHAB INC
Provider Business Mailing Address City Name:
NORWOOD
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02062
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
781-769-2040
Provider Business Mailing Address Fax Number:
781-769-1914

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
227 DEDHAM ST
Provider Second Line Business Practice Location Address:
PHYSICAL THERAPY & SPORTS REHAB INC
Provider Business Practice Location Address City Name:
NORFOLK
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02056
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-384-7020
Provider Business Practice Location Address Fax Number:
508-384-7025
Provider Enumeration Date:
11/22/2006

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: 225100000X , with the licence number:  3721 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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