Lorenza Fullmer, MS, CCC-SLP | |
3715 Woodking Dr, Idaho Falls, ID 83404-4720 | |
(208) 529-2255 | |
Not Available |
Full Name | Lorenza Fullmer |
---|---|
Gender | Female |
Speciality | Qualified Speech Language Pathologist |
Experience | 12 Years |
Location | 3715 Woodking Dr, Idaho Falls, Idaho |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669880670 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SLP 2380 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Foothills Rehabilitation And Performance Services Pllc | 6406077999 | 7 |
Provider Name | Foothills Rehabilitation & Performance Services Pllc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1063829836 PECOS PAC ID: 6406077999 Enrollment ID: O20141027001351 |
Mailing Address | Practice Location Address |
---|---|
Lorenza Fullmer, MS, CCC-SLP 1212 W 100 S, Blackfoot, ID 83221-6035 Ph: (208) 221-0080 | Lorenza Fullmer, MS, CCC-SLP 3715 Woodking Dr, Idaho Falls, ID 83404-4720 Ph: (208) 529-2255 |
Ms. Margaret Ellen Adamski, M.S. Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 3346 Merlin Dr., Idaho Falls, ID 83404 Phone: 208-523-3226 | |
Kliss Moulton, MS, SLP-CF Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3715 Woodking Dr, Idaho Falls, ID 83404 Phone: 208-529-2255 | |
Brittany Long, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1460 Elk Creek Dr, Idaho Falls, ID 83404 Phone: 208-535-1286 | |
Mrs. Brittany M Thomas, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 407 10th St, Idaho Falls, ID 83404 Phone: 208-709-1144 | |
Mrs. Misty Richardson, MS, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2775 Sandy Cir, Idaho Falls, ID 83401 Phone: 208-520-8488 | |
Britney Baumgartel, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1460 Elk Creek Dr, Idaho Falls, ID 83404 Phone: 208-535-1286 | |
Cami Jo Finehout, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1460 Elk Creek Dr, Idaho Falls, ID 83404 Phone: 208-535-1286 |