Doctor Name: | MS. LORRI LIVERS HOUCK |
NPI Number: | 1386931715 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 28193545A |
Business Practice Address: | 233 Back Run Rd Coxs Creek, KY - 400137609 |
Business Phone Number: | 5022759898 |
Business Fax Number: | |
Mailing Address: | 233 Back Run Rd, COXS CREEK |
State: | KY |
Postal Code: | 400137609 |
Phone Number: | 5022759898 |
Fax Number: | |
NPI Enumeration Date: | 07/06/2011 |
NPI Last Update Date: | 07/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 28193545A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |