Lorie O White
Individual provider Active NPI Home Modifications Contractor · Fordoche, LA
NPI 1386807741 · NPPES record last updated Jul 7, 2008
Key facts
- NPI
- 1386807741
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Modifications Contractor 171WH0202X
- License
- 87198 (LA)
- Practice address
- 5854 Highway 77
Fordoche, LA 70732 - Phone
- (225) 637-2178
- Fax
- (225) 637-2185
- NPI assigned
- Jul 7, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87198 | LA | MD | Home Modifications Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lorie White | Home Modifications | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | 87198 | LA | Yes |
Addresses
Primary practice location
5854 Highway 77
Fordoche, LA 70732
Mailing address
PO Box 178
Fordoche, LA 70732-0178
Phone (225) 637-2178
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1562122 | Medicaid | LA |
Other providers in Fordoche, LA
All providers in Fordoche, LA · Home Modifications Contractor in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 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.