| Doctor Name: | MS. LORI LYNNE HOLDER |
| NPI Number: | 1003881137 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.C.S.W. |
| License Number: | 29496 |
| Business Practice Address: | 504 Main St Suite 472 Lewiston, ID - 835011803 |
| Business Phone Number: | 2085531603 |
| Business Fax Number: | 2087467388 |
| Mailing Address: | 817 16th St, CLARKSTON |
| State: | WA |
| Postal Code: | 994031104 |
| Phone Number: | 2085531603 |
| Fax Number: | 2087467388 |
| NPI Enumeration Date: | 02/22/2006 |
| NPI Last Update Date: | 03/12/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 29496 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |