Lori J Dougherty
Individual provider Active NPI Personal Care Attendant · Sandstone, MN
NPI 1043497662 · NPPES record last updated Jan 25, 2008
Key facts
- NPI
- 1043497662
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 119 Fouth St.
Sandstone, MN 55072 - Phone
- (320) 245-5362
- Fax
- (320) 245-5105
- NPI assigned
- Jan 25, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
119 Fouth St.
Sandstone, MN 55072
Mailing address
119 Fourth St.
Sandstone, MN 55072
Phone (320) 245-5362
Other providers in Sandstone, MN
- Michael Joseph Debevec
- Minnie Mae Delaney
- Bridget M. Dewey
- Reta Joyce Diedrich
- Angela Lea Domagala
- Gary Vince Drewa
- Family Health Systems of Moose Lake Inc
- Jessica Lynne Fehlen
- Kimberly June Fletcher
- Foster Transportation Services LLC
All providers in Sandstone, MN · Personal Care Attendant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.