Provider Demographics
NPI:1023473550
Name:STRATMAN, LORI RENEE (CADC)
Entity type:Individual
Prefix:MRS
First Name:LORI
Middle Name:RENEE
Last Name:STRATMAN
Suffix:
Gender:F
Credentials:CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4625 FALCONCREST DR
Mailing Address - Street 2:STE A
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42001-7458
Mailing Address - Country:US
Mailing Address - Phone:270-443-0096
Mailing Address - Fax:270-443-0080
Practice Address - Street 1:4625 FALCONCREST DR
Practice Address - Street 2:STE A
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42001-7458
Practice Address - Country:US
Practice Address - Phone:270-443-0096
Practice Address - Fax:270-443-0080
Is Sole Proprietor?:No
Enumeration Date:2015-12-29
Last Update Date:2015-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
KY00223995101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No171M00000XOther Service ProvidersCase Manager/Care Coordinator