1922120906 NPI number — LORI WARMA M.A.CCC -SLP

Table of content: LORI WARMA M.A.CCC -SLP (NPI 1922120906)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922120906 NPI number — LORI WARMA M.A.CCC -SLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WARMA
Provider First Name:
LORI
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.A.CCC -SLP
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:
1922120906
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/09/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2729
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GREAT FALLS
Provider Business Mailing Address State Name:
MT
Provider Business Mailing Address Postal Code:
59403-2729
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
406-452-4660
Provider Business Mailing Address Fax Number:
406-452-4880

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1601 2ND AVE N
Provider Second Line Business Practice Location Address:
SUITE 550
Provider Business Practice Location Address City Name:
GREAT FALLS
Provider Business Practice Location Address State Name:
MT
Provider Business Practice Location Address Postal Code:
59401-3259
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
406-452-4660
Provider Business Practice Location Address Fax Number:
406-452-4880
Provider Enumeration Date:
04/03/2007

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: 235Z00000X , with the licence number:  842 , registered in the state of MT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 661510 . This is a "BLUECROSSBLUESHIELD #" identifier , issued by the state of ( MT ) . This identifiers is of the category "OTHER".
  • Identifier: 0533664 , issued by the state of ( MT ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com