| Lorran Upchurch | |
|
5600 Monroe St Ste 106a Sylvania OH 43560-2797 | |
| (734) 347-0606 | |
| Not Available |
| Full Name | Lorran Upchurch |
|---|---|
| Speciality | Social Worker |
| Location | 5600 Monroe St Ste 106a, Sylvania, Ohio |
| Authorized Official Name and Position | Lorran Upchurch (THERAPIST/ OWNER) |
| Authorized Official Contact | 7343470606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lorran Upchurch 5600 Monroe St Ste 106a Sylvania OH 43560-2797 Ph: (734) 347-0606 | Lorran Upchurch 5600 Monroe St Ste 106a Sylvania OH 43560-2797 Ph: (734) 347-0606 |
| NPI Number | 1144884735 |
|---|---|
| Provider Enumeration Date | 04/29/2019 |
| Last Update Date | 12/04/2019 |
| Medicare PECOS PAC ID | 9436588142 |
|---|---|
| Medicare Enrollment ID | O20200401000766 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144884735 | NPI | - | NPPES |
| 0228790 | Medicaid | OH |
| Provider Name | Lorran Ashly Upchurch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801191556 PECOS PAC ID: 3072873173 Enrollment ID: I20180212000164 |
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