1427695717 NPI number — LORI A DONOHO CERTIFIED HAIR LOSS

Table of content: LORI A DONOHO CERTIFIED HAIR LOSS (NPI 1427695717)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427695717 NPI number — LORI A DONOHO CERTIFIED HAIR LOSS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DONOHO
Provider First Name:
LORI
Provider Middle Name:
A
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
CERTIFIED HAIR LOSS
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:
1427695717
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/29/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5507 ROSECROFT VILLAGE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OXON HILL
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20745-3646
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
202-441-2261
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8604 CENTRAL AVENUE, SUITE 3
Provider Second Line Business Practice Location Address:
C/O PERSONAL TOUCH SALON CENTER
Provider Business Practice Location Address City Name:
HYATTSVILLE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20785
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-441-2261
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/05/2019

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: 224P00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1744P3200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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