Provider Demographics
NPI:1033165113
Name:DORCEY, LONNIE BLAKE (RPT)
Entity Type:Individual
Prefix:
First Name:LONNIE
Middle Name:BLAKE
Last Name:DORCEY
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 3RD AVE N STE B
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35203-1628
Mailing Address - Country:US
Mailing Address - Phone:205-566-1674
Mailing Address - Fax:205-278-6900
Practice Address - Street 1:1201 3RD AVE N STE B
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35203-1628
Practice Address - Country:US
Practice Address - Phone:256-546-8127
Practice Address - Fax:256-547-6720
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2018-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPT3848208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation