Lori Kay Haag, OTR/L, CLT-LANA

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

102547 Issued in MN

Practice address

200 W 1St St
Paynesville, MN 56362-1445

Phone

(320) 243-7704

Fax

(320) 243-7519

NPI assigned

Jan 20, 2009

Last updated

Jan 20, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232409600000",
    "number": "1073750535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17012 COUNTY ROAD 43",
            "city": "EDEN VALLEY",
            "state": "MN",
            "postal_code": "553299261",
            "telephone_number": "320-453-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 1ST ST",
            "city": "PAYNESVILLE",
            "state": "MN",
            "postal_code": "563621445",
            "telephone_number": "320-243-7704",
            "fax_number": "320-243-7519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAG",
        "first_name": "LORI",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "OTR/L, CLT-LANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "MN",
            "license": "102547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert N Gardner, M.D.
• Alicia M. Glimsdal, APRN, CNP
• Dodi Greeley, LADC
• Elizabeth Pauline Greguson-Puppe, D.C.
• GRX Holdings LLC (Medicap Pharmacy)
• Kurt Alan Habben, M.D.
• Theresa Hacklander, CMT
• Marla Mae Hartmann
• Jacklitch Chiropractic Clinic
• Randal Joseph Jacklitch, D.C.

• Physical Rehabilitation Occupational Therapist in Paynesville, MN
• Providers in Paynesville, MN by specialty
• Physical Rehabilitation Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.