Provider Demographics
NPI:1588801930
Name:DEUTSCH, LORI (DAOM, LAC)
Entity Type:Individual
Prefix:DR
First Name:LORI
Middle Name:
Last Name:DEUTSCH
Suffix:
Gender:F
Credentials:DAOM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 PARK ST
Mailing Address - Street 2:
Mailing Address - City:GREAT BARRINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01230-1413
Mailing Address - Country:US
Mailing Address - Phone:310-922-8293
Mailing Address - Fax:
Practice Address - Street 1:9 PARK ST
Practice Address - Street 2:
Practice Address - City:GREAT BARRINGTON
Practice Address - State:MA
Practice Address - Zip Code:01230-1413
Practice Address - Country:US
Practice Address - Phone:310-922-8293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-07
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC12346171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist