Provider Demographics
NPI:1326041724
Name:STONEHOCKER, LORI L (DO)
Entity Type:Individual
Prefix:DR
First Name:LORI
Middle Name:L
Last Name:STONEHOCKER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 710
Mailing Address - Street 2:
Mailing Address - City:BENKELMAN
Mailing Address - State:NE
Mailing Address - Zip Code:69021-0710
Mailing Address - Country:US
Mailing Address - Phone:308-423-2151
Mailing Address - Fax:308-423-2209
Practice Address - Street 1:1313 N CHEYENNE ST
Practice Address - Street 2:
Practice Address - City:BENKELMAN
Practice Address - State:NE
Practice Address - Zip Code:69021-3074
Practice Address - Country:US
Practice Address - Phone:308-423-2151
Practice Address - Fax:308-423-2217
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2020-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE348207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NENE348Medicaid
G37069Medicare UPIN
NE281202Medicare PIN