| Lori Burack, Lcsw, Pa | |
|
5700 Lake Worth Rd Suite 205 Lake Worth FL 33463-3213 | |
| (561) 478-5160 | |
| (561) 642-9623 |
| Full Name | Lori Burack, Lcsw, Pa |
|---|---|
| Speciality | Social Worker |
| Location | 5700 Lake Worth Rd, Lake Worth, Florida |
| Authorized Official Name and Position | Lori Burack (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5614785160 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lori Burack, Lcsw, Pa 5700 Lake Worth Rd Suite 205 Lake Worth FL 33463-3213 Ph: (561) 478-5160 | Lori Burack, Lcsw, Pa 5700 Lake Worth Rd Suite 205 Lake Worth FL 33463-3213 Ph: (561) 478-5160 |
| NPI Number | 1932562410 |
|---|---|
| Provider Enumeration Date | 04/01/2016 |
| Last Update Date | 04/01/2016 |
| Medicare PECOS PAC ID | 2769761501 |
|---|---|
| Medicare Enrollment ID | O20161117002231 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932562410 | NPI | - | NPPES |
| 1891880480 | Other | FL | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW2319 (Florida) | Primary |
| Provider Name | Lori Burack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891880480 PECOS PAC ID: 1355597162 Enrollment ID: I20120810000259 |
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