Provider Demographics
NPI:1932220456
Name:LIPNOS, LORIE ANN (PT, DPT, ATC)
Entity Type:Individual
Prefix:MISS
First Name:LORIE
Middle Name:ANN
Last Name:LIPNOS
Suffix:
Gender:F
Credentials:PT, DPT, ATC
Other - Prefix:
Other - First Name:LORIE
Other - Middle Name:ANN
Other - Last Name:EHLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:PO BOX 844658
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-4658
Mailing Address - Country:US
Mailing Address - Phone:254-724-2111
Mailing Address - Fax:
Practice Address - Street 1:1100 FORD ST
Practice Address - Street 2:
Practice Address - City:LLANO
Practice Address - State:TX
Practice Address - Zip Code:78643-2309
Practice Address - Country:US
Practice Address - Phone:325-248-2060
Practice Address - Fax:830-201-7108
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7653PT225100000X
CA37242225100000X
GAPT009205225100000X
TNPT0000007274225100000X
TX1160340225100000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist