Provider Demographics
NPI:1396947263
Name:KARMAN, LORI
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:KARMAN
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 1:201 E JEFFERSON ST
Mailing Address - Street 2:SUITE 201-B
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-1246
Mailing Address - Country:US
Mailing Address - Phone:502-569-2058
Mailing Address - Fax:502-569-1065
Practice Address - Street 1:201 E JEFFERSON ST
Practice Address - Street 2:SUITE 201-B
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-1246
Practice Address - Country:US
Practice Address - Phone:502-569-2058
Practice Address - Fax:502-569-1065
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1638101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3376955Medicare ID - Type UnspecifiedGROUP NUMBER