Provider Demographics
NPI:1295801322
Name:MAIER, LOIS LIPPITT (PT)
Entity type:Individual
Prefix:MRS
First Name:LOIS
Middle Name:LIPPITT
Last Name:MAIER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:LOIS
Other - Middle Name:MARGARET
Other - Last Name:LIPPITT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 306393
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37230-6393
Mailing Address - Country:US
Mailing Address - Phone:615-373-1350
Mailing Address - Fax:615-221-9054
Practice Address - Street 1:1203B MEMORIAL BLVD
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-2420
Practice Address - Country:US
Practice Address - Phone:615-895-4491
Practice Address - Fax:615-907-1832
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7181225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist