Provider Demographics
NPI:1871010371
Name:REMY, LORRIE (SLP)
Entity Type:Individual
Prefix:
First Name:LORRIE
Middle Name:
Last Name:REMY
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:LORRIE
Other - Middle Name:
Other - Last Name:TRONCIN REMY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:SLP
Mailing Address - Street 1:2800 NE 21ST TER
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33306-1216
Mailing Address - Country:US
Mailing Address - Phone:954-214-9665
Mailing Address - Fax:
Practice Address - Street 1:2655 E OAKLAND PARK BLVD STE 5
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33306-1608
Practice Address - Country:US
Practice Address - Phone:954-630-3131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-25
Last Update Date:2017-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3038235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3038OtherLICENCE
01077237OtherASHA