Provider Demographics
NPI:1558440784
Name:ANDRERWS, LORI ANN (MA, ATC)
Entity Type:Individual
Prefix:MRS
First Name:LORI
Middle Name:ANN
Last Name:ANDRERWS
Suffix:
Gender:F
Credentials:MA, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 WENONAH ST
Mailing Address - Street 2:
Mailing Address - City:TECUMSEH
Mailing Address - State:MI
Mailing Address - Zip Code:49286-1040
Mailing Address - Country:US
Mailing Address - Phone:517-424-5791
Mailing Address - Fax:
Practice Address - Street 1:1300 CAMPUS PKWY
Practice Address - Street 2:ATHLETIC TRAINING
Practice Address - City:SALINE
Practice Address - State:MI
Practice Address - Zip Code:48176-8886
Practice Address - Country:US
Practice Address - Phone:734-429-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer