Provider Demographics
NPI:1912296146
Name:STEFFEN, LORI
Entity Type:Individual
Prefix:MS
First Name:LORI
Middle Name:
Last Name:STEFFEN
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 1:14825 E 42ND ST S
Mailing Address - Street 2:SUITE 202
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64055-4776
Mailing Address - Country:US
Mailing Address - Phone:816-718-2208
Mailing Address - Fax:816-817-1481
Practice Address - Street 1:14825 E 42ND ST S
Practice Address - Street 2:SUITE 202
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055-4776
Practice Address - Country:US
Practice Address - Phone:816-718-2208
Practice Address - Fax:816-817-1481
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-28
Last Update Date:2011-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker