Provider Demographics
NPI:1376825240
Name:WORKMAN, LORI LYNN (LMP)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:LYNN
Last Name:WORKMAN
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19420 SE 20TH ST
Mailing Address - Street 2:APT 61
Mailing Address - City:CAMAS
Mailing Address - State:WA
Mailing Address - Zip Code:98607-8678
Mailing Address - Country:US
Mailing Address - Phone:360-606-4805
Mailing Address - Fax:
Practice Address - Street 1:19420 SE 20TH ST
Practice Address - Street 2:APT 61
Practice Address - City:CAMAS
Practice Address - State:WA
Practice Address - Zip Code:98607-8678
Practice Address - Country:US
Practice Address - Phone:360-606-4805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-15
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00013355175L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175L00000XOther Service ProvidersHomeopath