Provider Demographics
NPI:1447473228
Name:CARUSO, LORRAINE PIPER (PT)
Entity type:Individual
Prefix:MS
First Name:LORRAINE
Middle Name:PIPER
Last Name:CARUSO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20396 BURNHAM AVE
Mailing Address - Street 2:
Mailing Address - City:LYNWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60411-8763
Mailing Address - Country:US
Mailing Address - Phone:708-717-4320
Mailing Address - Fax:219-322-9787
Practice Address - Street 1:221 US HIGHWAY 41
Practice Address - Street 2:
Practice Address - City:SCHERERVILLE
Practice Address - State:IN
Practice Address - Zip Code:46375-1277
Practice Address - Country:US
Practice Address - Phone:219-322-2037
Practice Address - Fax:219-322-9787
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05009708A225100000X
IL070016755225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist