Provider Demographics
NPI:1851665053
Name:STARN, LORI A (ND)
Entity Type:Individual
Prefix:DR
First Name:LORI
Middle Name:A
Last Name:STARN
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1090 BEECHER XING N
Mailing Address - Street 2:SUITE C
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-4566
Mailing Address - Country:US
Mailing Address - Phone:614-245-4750
Mailing Address - Fax:614-855-8820
Practice Address - Street 1:1090 BEECHER XING N
Practice Address - Street 2:SUITE C
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-4566
Practice Address - Country:US
Practice Address - Phone:614-245-4750
Practice Address - Fax:614-855-8820
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-06
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT 00001537175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath