Basic Information
| Provider Information | |||||||||
| NPI: | 1811399140 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LORINCZ | ||||||||
| FirstName: | ERIC | ||||||||
| MiddleName: | ANTHONY | ||||||||
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| Credential: | LPTA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5061 WAY ST | ||||||||
| Address2: | |||||||||
| City: | BURTON | ||||||||
| State: | MI | ||||||||
| PostalCode: | 485091536 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8104234501 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1235 S CENTER RD | ||||||||
| Address2: | |||||||||
| City: | BURTON | ||||||||
| State: | MI | ||||||||
| PostalCode: | 485091700 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8107438820 | ||||||||
| FaxNumber: | 8107435908 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/18/2014 | ||||||||
| LastUpdateDate: | 09/18/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225200000X | 5502004336 | MI | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant |
No ID Information.