Provider Demographics
NPI:1962281030
Name:MCCARTHY, LORI (LMT, CLT, IHP2)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:LMT, CLT, IHP2
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26032 DETROIT RD STE 6
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-2478
Mailing Address - Country:US
Mailing Address - Phone:216-548-7171
Mailing Address - Fax:
Practice Address - Street 1:26032 DETROIT RD STE 6
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-2478
Practice Address - Country:US
Practice Address - Phone:216-548-7171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-27
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33.024733171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach