Provider Demographics
NPI:1801159009
Name:ZEMAN, LORIANN M
Entity type:Individual
Prefix:
First Name:LORIANN
Middle Name:M
Last Name:ZEMAN
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 1:2119 PRAIRIE LN
Mailing Address - Street 2:
Mailing Address - City:WOODRIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60517-8109
Mailing Address - Country:US
Mailing Address - Phone:630-910-6634
Mailing Address - Fax:
Practice Address - Street 1:2119 PRAIRIE LN
Practice Address - Street 2:
Practice Address - City:WOODRIDGE
Practice Address - State:IL
Practice Address - Zip Code:60517-8109
Practice Address - Country:US
Practice Address - Phone:630-910-6634
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-21
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency