| Doctor Name: | LORI MANESS |
| NPI Number: | 1922300995 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 1-097091 |
| Business Practice Address: | 151 9th Ave Nw Childersburg, AL - 350441231 |
| Business Phone Number: | 2052668162 |
| Business Fax Number: | 2563783371 |
| Mailing Address: | 151 9th Ave Nw, CHILDERSBURG |
| State: | AL |
| Postal Code: | 350441231 |
| Phone Number: | 2052668162 |
| Fax Number: | 2563783371 |
| NPI Enumeration Date: | 11/24/2010 |
| NPI Last Update Date: | 11/24/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0809X |
| License Number: | 1-097091 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |