Provider Demographics
NPI:1588620124
Name:AUERSCH, LORRAINE ROSE (MS/OTR)
Entity Type:Individual
Prefix:MRS
First Name:LORRAINE
Middle Name:ROSE
Last Name:AUERSCH
Suffix:
Gender:F
Credentials:MS/OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:667 MORNINGSIDE CT
Mailing Address - Street 2:
Mailing Address - City:ZIONSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46077-1926
Mailing Address - Country:US
Mailing Address - Phone:317-733-9978
Mailing Address - Fax:
Practice Address - Street 1:667 MORNINGSIDE CT
Practice Address - Street 2:
Practice Address - City:ZIONSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46077-1926
Practice Address - Country:US
Practice Address - Phone:317-733-9978
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31001615225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics