| Lori Ann Driver Llc | |
|
3830 Packard Road Suite 250 Ann Arbor MI 48108-2757 | |
| (734) 975-2757 | |
| (734) 975-2909 |
| Full Name | Lori Ann Driver Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3830 Packard Road Suite 250, Ann Arbor, Michigan |
| Authorized Official Name and Position | Lori A Driver (LMSW) |
| Authorized Official Contact | 7349752757 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lori Ann Driver Llc 3830 Packard Road Suite 250 Ann Arbor MI 48108-2757 Ph: (734) 975-2757 | Lori Ann Driver Llc 3830 Packard Road Suite 250 Ann Arbor MI 48108-2757 Ph: (734) 975-2757 |
| NPI Number | 1750655262 |
|---|---|
| Provider Enumeration Date | 03/01/2012 |
| Last Update Date | 03/01/2012 |
| Medicare PECOS PAC ID | 6103080775 |
|---|---|
| Medicare Enrollment ID | O20120611000594 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750655262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801066884 (Michigan) | Primary |
| Provider Name | Lori A Driver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962581389 PECOS PAC ID: 5092985762 Enrollment ID: I20110907001328 |
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