Provider Demographics
NPI:1427088939
Name:WARRENDER, LORI ANN (MPT)
Entity type:Individual
Prefix:MRS
First Name:LORI
Middle Name:ANN
Last Name:WARRENDER
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:MISS
Other - First Name:LORI
Other - Middle Name:ANN
Other - Last Name:HELLEBUSCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:2941 PRAIRIE CT
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66046-6110
Mailing Address - Country:US
Mailing Address - Phone:785-840-9906
Mailing Address - Fax:
Practice Address - Street 1:3115 W 6TH ST
Practice Address - Street 2:SUITE B
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049-3101
Practice Address - Country:US
Practice Address - Phone:785-856-3220
Practice Address - Fax:785-856-7392
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-02390225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist