Lora Lee Mattox, CPC

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

CG60864636 Issued in WA

Practice address

1723 Kresky Ave
Centralia, WA 98531-8985

Phone

(360) 559-6201

Fax

(360) 807-4429

NPI assigned

Jan 3, 2019

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1215400155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 KRESKY AVE",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985318985",
            "telephone_number": "360-559-6201",
            "fax_number": "360-807-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 KRESKY AVE",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985318985",
            "telephone_number": "360-559-6201",
            "fax_number": "360-807-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTOX",
        "first_name": "LORA",
        "middle_name": "LEE",
        "credential": "CPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-03",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WA",
            "license": "CG60864636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wesley A Martusewicz
• Lisa Marie Mason, MA, CCC-SLP
• Jacob John Massarelli, PA-C
• Fredrick L Masters, CRNA
• Kathy Joy Matson, LPN
• Anne Elizabeth Matz, M.S.,P.T.
• Maughan Prosthetic & Orthotic, Inc.
• Jason Maughan
• David L Maxey
• Elijah Maxwell, LMP

• Peer Specialist in Centralia, WA
• Providers in Centralia, WA by specialty
• Peer Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.