Provider Demographics
NPI:1740715317
Name:SEOG, LORI LYNN (LADC, IDSP)
Entity type:Individual
Prefix:MS
First Name:LORI
Middle Name:LYNN
Last Name:SEOG
Suffix:
Gender:F
Credentials:LADC, IDSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 130
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NH
Mailing Address - Zip Code:03235-0130
Mailing Address - Country:US
Mailing Address - Phone:603-848-2833
Mailing Address - Fax:
Practice Address - Street 1:20 CANAL ST STE 315
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NH
Practice Address - Zip Code:03235
Practice Address - Country:US
Practice Address - Phone:603-848-2833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0124101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)