Provider Demographics
NPI:1184717779
Name:TORBETT, LIONEL LAWRENCE (PT)
Entity type:Individual
Prefix:MR
First Name:LIONEL
Middle Name:LAWRENCE
Last Name:TORBETT
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:811 W. MAIN STREET
Mailing Address - Street 2:SUITE 205
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072
Mailing Address - Country:US
Mailing Address - Phone:803-358-6115
Mailing Address - Fax:803-358-6117
Practice Address - Street 1:811 W. MAIN STREET
Practice Address - Street 2:SUITE 205
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072
Practice Address - Country:US
Practice Address - Phone:803-358-6115
Practice Address - Fax:803-358-6117
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3325225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC3325OtherPT LICENSE NUMBER