Provider Demographics
NPI:1013178078
Name:SCHRADER, LORILEE (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LORILEE
Middle Name:
Last Name:SCHRADER
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2810 KIPLING CIR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-2751
Mailing Address - Country:US
Mailing Address - Phone:402-421-1419
Mailing Address - Fax:
Practice Address - Street 1:4735 S 54TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-1335
Practice Address - Country:US
Practice Address - Phone:402-488-0977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-23
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE827235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist