Provider Demographics
NPI:1487905287
Name:LORD SERVICES LLC
Entity type:Organization
Organization Name:LORD SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:678-508-1267
Mailing Address - Street 1:54 DEVORE RD
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30009-1941
Mailing Address - Country:US
Mailing Address - Phone:678-508-1267
Mailing Address - Fax:
Practice Address - Street 1:54 DEVORE RD
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30009-1941
Practice Address - Country:US
Practice Address - Phone:678-508-1267
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-20
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA251B00000X, 253Z00000X, 261QH0700X, 252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251B00000XAgenciesCase Management
No253Z00000XAgenciesIn Home Supportive Care
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech