Provider Demographics
NPI:1871848192
Name:FISCHER, LORI V (RPT)
Entity Type:Individual
Prefix:MRS
First Name:LORI
Middle Name:V
Last Name:FISCHER
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 CUMMINGS CIR
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-3506
Mailing Address - Country:US
Mailing Address - Phone:843-452-5282
Mailing Address - Fax:
Practice Address - Street 1:950 CUMMINGS CIR
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3506
Practice Address - Country:US
Practice Address - Phone:843-452-5282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-24
Last Update Date:2012-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1105225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist