Provider Demographics
NPI:1427179985
Name:BARBER, LORIE SCHULTZ (OTR)
Entity Type:Individual
Prefix:MS
First Name:LORIE
Middle Name:SCHULTZ
Last Name:BARBER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MRS
Other - First Name:LORIE
Other - Middle Name:SCHULTZ
Other - Last Name:BAACK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTR
Mailing Address - Street 1:918 WOODGATE TRL
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32750-2989
Mailing Address - Country:US
Mailing Address - Phone:407-331-8049
Mailing Address - Fax:
Practice Address - Street 1:918 WOODGATE TRL
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750-2989
Practice Address - Country:US
Practice Address - Phone:407-331-8049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT 2953174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLOT 2953OtherOTR