LORRIE LASHELL DALLAS


Address: 5600 W Brown Deer Rd, Suite 110, Milwaukee, WI 53223-2311
Phone: 4148106691

LORRIE LASHELL DALLAS (NPI# 1578886586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578886586
Entity Type Individual
Full Name LORRIE LASHELL DALLAS
Credential SACIT
Practice Address 5600 W Brown Deer Rd
Suite 110
Milwaukee
WI 53223-2311
Mailing Address 912 W Nash St
Milwaukee
WI 53206-3345
Practice Telephone 4148106691
Practice Fax Number 8667193024
Mailing Telephone 4143979213
Mailing Fax Number 4143547795
Enumeration Date 2010-03-04
Last Update Date 2010-03-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
15459 130 WI Behavioral Health & Social Service Providers

Office Location

Street Address 5600 W BROWN DEER RD
SUITE 110
City MILWAUKEE
State WI
Zip Code 53223-2311

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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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Competitor

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City MILWAUKEE
Zip Code 53223

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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