Provider Demographics
NPI:1205077831
Name:ENLOW, LORIE JANE
Entity type:Individual
Prefix:MS
First Name:LORIE
Middle Name:JANE
Last Name:ENLOW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:995 MARKET ST
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-1702
Mailing Address - Country:US
Mailing Address - Phone:415-644-0507
Mailing Address - Fax:415-644-0380
Practice Address - Street 1:995 MARKET ST
Practice Address - Street 2:5TH FLOOR
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-1702
Practice Address - Country:US
Practice Address - Phone:415-644-0507
Practice Address - Fax:415-644-0380
Is Sole Proprietor?:No
Enumeration Date:2009-03-11
Last Update Date:2009-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor