Wilson, Lori

Wilson, Lori is an sole proprietor health care provider with primary practice located at 1006 E Yager Ln A 104, Austin TX 78753-7088. She recently has 5 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Day Training, Developmentally Disabled Services, Agencies / Community/Behavioral Health, Agencies / In Home Supportive Care, Respite Care Facility / Respite Care. Agencies / Case Management is her primary health care specialty. Wilson, Lori can be contacted via phone (512) 385-4799.

Contact Information

Primary practice address
1006 E Yager Ln A 104 Austin TX 78753-7088
Phone: (512) 385-4799
Fax: (512) 385-4838
Website:
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Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / In Home Supportive Care 253Z00000X
Respite Care Facility / Respite Care 385H00000X 5006 Texas

Profile Details

NPI number 1114473592
LBN Legal business name Wilson, Lori
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2016
Last updated Aug 26th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114473592 NPPES
Texas MEDICAID 04-3689304

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