Provider Demographics
NPI:1740699313
Name:HARRINGTON, LORI
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:HARRINGTON
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 1:434 LAKE ST
Mailing Address - Street 2:202
Mailing Address - City:EXCELSIOR
Mailing Address - State:MN
Mailing Address - Zip Code:55331-2013
Mailing Address - Country:US
Mailing Address - Phone:612-644-8937
Mailing Address - Fax:
Practice Address - Street 1:434 LAKE ST
Practice Address - Street 2:202
Practice Address - City:EXCELSIOR
Practice Address - State:MN
Practice Address - Zip Code:55331-2013
Practice Address - Country:US
Practice Address - Phone:612-644-8937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-07
Last Update Date:2014-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist