Provider Demographics
NPI:1831436948
Name:LORAH INC
Entity type:Organization
Organization Name:LORAH INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:LOUISE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:JUCKNIESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-960-4562
Mailing Address - Street 1:PO BOX 471
Mailing Address - Street 2:
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60522-0471
Mailing Address - Country:US
Mailing Address - Phone:888-960-4562
Mailing Address - Fax:630-571-6038
Practice Address - Street 1:201 E OGDEN AVE
Practice Address - Street 2:SUITE 218
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-3633
Practice Address - Country:US
Practice Address - Phone:888-960-4562
Practice Address - Fax:630-571-6038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-09
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty