Provider Demographics
NPI:1376529602
Name:LANKIEWICZ, LORRI ANN (MPT,ATC,PC)
Entity Type:Individual
Prefix:MISS
First Name:LORRI
Middle Name:ANN
Last Name:LANKIEWICZ
Suffix:
Gender:F
Credentials:MPT,ATC,PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601A PITTSBURGH RD
Mailing Address - Street 2:STE 100
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16002-4033
Mailing Address - Country:US
Mailing Address - Phone:724-481-1141
Mailing Address - Fax:724-481-1142
Practice Address - Street 1:267 PITTSBURGH RD
Practice Address - Street 2:SUITE A
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16002-3954
Practice Address - Country:US
Practice Address - Phone:724-477-3181
Practice Address - Fax:724-477-3158
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-19
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT-013022-L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA579511OtherHIGHMARK BC/BS/LAL
PA268382OtherHEALTH AMERICA: BFW, LLC
PA268402OtherHEALTH AMERICA: LAL
PAPT-013022-LOtherLICENSE NIMBER
PA1567214OtherHIGHMARK BC/BS: BFW, LLC
PA579511OtherHIGHMARK BC/BS/LAL
PAPT-013022-LOtherLICENSE NIMBER