Provider Demographics
NPI:1548612385
Name:CONTI, LORI
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:CONTI
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 1:4285 N RANCHO DR
Mailing Address - Street 2:STE 160
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89130-3446
Mailing Address - Country:US
Mailing Address - Phone:702-835-1915
Mailing Address - Fax:702-851-8528
Practice Address - Street 1:4285 N RANCHO DR
Practice Address - Street 2:STE 160
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89130-3446
Practice Address - Country:US
Practice Address - Phone:702-835-1915
Practice Address - Fax:702-851-8528
Is Sole Proprietor?:No
Enumeration Date:2016-07-05
Last Update Date:2016-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner