Provider Demographics
NPI:1740495910
Name:ALLEMBAUGH, LORI RENEE (DO)
Entity type:Individual
Prefix:DR
First Name:LORI
Middle Name:RENEE
Last Name:ALLEMBAUGH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:501 AIR PARK AVE
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75402-3000
Mailing Address - Country:US
Mailing Address - Phone:903-455-1100
Mailing Address - Fax:903-408-1129
Practice Address - Street 1:5101 WELLINGTON ST UNIT C
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:TX
Practice Address - Zip Code:75402-6040
Practice Address - Country:US
Practice Address - Phone:903-455-3261
Practice Address - Fax:903-455-0211
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM6494208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics