Provider Demographics
NPI:1710752316
Name:MAHLER, LORI ANN (NTP)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:ANN
Last Name:MAHLER
Suffix:
Gender:F
Credentials:NTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:986 E 9TH ST
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:IL
Mailing Address - Zip Code:60441-3235
Mailing Address - Country:US
Mailing Address - Phone:815-931-8540
Mailing Address - Fax:
Practice Address - Street 1:986 E 9TH ST
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:IL
Practice Address - Zip Code:60441-3235
Practice Address - Country:US
Practice Address - Phone:815-931-8540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-24
Last Update Date:2023-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education