Provider Demographics
NPI:1285463455
Name:SWECKER, LORI
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:SWECKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 S SYCAMORE AVE
Mailing Address - Street 2:
Mailing Address - City:SYCAMORE
Mailing Address - State:OH
Mailing Address - Zip Code:44882-9783
Mailing Address - Country:US
Mailing Address - Phone:567-232-2374
Mailing Address - Fax:
Practice Address - Street 1:502 S SYCAMORE AVE
Practice Address - Street 2:
Practice Address - City:SYCAMORE
Practice Address - State:OH
Practice Address - Zip Code:44882-9783
Practice Address - Country:US
Practice Address - Phone:567-232-2374
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health