Provider Demographics
NPI:1053799411
Name:HANSMEYER, LORI (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:HANSMEYER
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25211 S 68TH ST
Mailing Address - Street 2:
Mailing Address - City:FIRTH
Mailing Address - State:NE
Mailing Address - Zip Code:68358-7598
Mailing Address - Country:US
Mailing Address - Phone:402-791-0040
Mailing Address - Fax:
Practice Address - Street 1:25211 S 68TH ST
Practice Address - Street 2:
Practice Address - City:FIRTH
Practice Address - State:NE
Practice Address - Zip Code:68358-7598
Practice Address - Country:US
Practice Address - Phone:402-791-0040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-18
Last Update Date:2015-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist