Provider Demographics
NPI:1396286852
Name:ROLNICK, LORI
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:ROLNICK
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 1:4705 ASBURY PL NW
Mailing Address - Street 2:4705 ASBURY PL NW
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-4326
Mailing Address - Country:US
Mailing Address - Phone:202-494-7240
Mailing Address - Fax:
Practice Address - Street 1:4705 ASBURY PL NW
Practice Address - Street 2:4705 ASBURY PL NW
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-4326
Practice Address - Country:US
Practice Address - Phone:202-494-7240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-17
Last Update Date:2017-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCOT556225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist