Lori R Fairbairn, MFT is a
Marriage & Family Therapist based in Pewaukee, Wisconsin. Lori R Fairbairn is licensed to practice in Wisconsin (license number 684-228) and her current practice location is
1177 Quail Ct Ste 101, Pewaukee, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(262) 696-9809.
NPI number for Lori R Fairbairn is 1366109290 and her current mailing address is 1177 Quail Ct Ste 101, Pewaukee, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366109290.
Healthcare Provider's Profile
Full Name | Lori R Fairbairn |
---|
Gender | Female |
---|
Speciality | Marriage & Family Therapist |
---|
Location | 1177 Quail Ct Ste 101, Pewaukee, Wisconsin |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1366109290
- Provider Enumeration Date: 11/27/2021
- Last Update Date: 11/27/2021
Medical Identifiers
Medical identifiers for Lori R Fairbairn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366109290 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 684-228 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lori R Fairbairn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lori R Fairbairn, MFT 1177 Quail Ct Ste 101, Pewaukee, WI 53072-3768 Ph: (262) 696-9809 | Lori R Fairbairn, MFT 1177 Quail Ct Ste 101, Pewaukee, WI 53072-3768 Ph: (262) 696-9809 |
Reviews and Comments