Provider Demographics
NPI:1508008145
Name:PHILPOTT, LORIE K (RMT)
Entity Type:Individual
Prefix:MRS
First Name:LORIE
Middle Name:K
Last Name:PHILPOTT
Suffix:
Gender:F
Credentials:RMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2302 NW 32ND ST
Mailing Address - Street 2:
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73505-1933
Mailing Address - Country:US
Mailing Address - Phone:580-695-7962
Mailing Address - Fax:
Practice Address - Street 1:2302 NW 32ND ST
Practice Address - Street 2:
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73505-1933
Practice Address - Country:US
Practice Address - Phone:580-695-7962
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-27
Last Update Date:2009-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor