Provider Demographics
NPI:1437553435
Name:PILZ, LORI
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:PILZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2845 TALAPOOSA ST
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRINGS
Mailing Address - State:NV
Mailing Address - Zip Code:89429-7941
Mailing Address - Country:US
Mailing Address - Phone:775-443-6662
Mailing Address - Fax:
Practice Address - Street 1:2845 TALAPOOSA ST
Practice Address - Street 2:
Practice Address - City:SILVER SPRINGS
Practice Address - State:NV
Practice Address - Zip Code:89429-7941
Practice Address - Country:US
Practice Address - Phone:775-443-6662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-20
Last Update Date:2014-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide