Provider Demographics
NPI:1326418229
Name:NEWLIN, LORI SUE
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:SUE
Last Name:NEWLIN
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 1:306 ALBA CT
Mailing Address - Street 2:
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46385-7390
Mailing Address - Country:US
Mailing Address - Phone:219-299-7573
Mailing Address - Fax:
Practice Address - Street 1:306 ALBA CT
Practice Address - Street 2:
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46385-7390
Practice Address - Country:US
Practice Address - Phone:219-299-7573
Practice Address - Fax:219-983-9681
Is Sole Proprietor?:No
Enumeration Date:2015-10-05
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant