Provider Demographics
NPI:1639391857
Name:RASMUSSEN, LORI J (CTRS)
Entity Type:Individual
Prefix:MRS
First Name:LORI
Middle Name:J
Last Name:RASMUSSEN
Suffix:
Gender:F
Credentials:CTRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5845 HUNTINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68507-2345
Mailing Address - Country:US
Mailing Address - Phone:402-471-6954
Mailing Address - Fax:402-471-6948
Practice Address - Street 1:5845 HUNTINGTON AVE
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68507-2345
Practice Address - Country:US
Practice Address - Phone:402-471-6954
Practice Address - Fax:402-471-6948
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist