Provider Demographics
NPI:1447634753
Name:SWAIN, LORI ELIZABETH (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:ELIZABETH
Last Name:SWAIN
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 1:291 DAVENPORT FORK RD
Mailing Address - Street 2:
Mailing Address - City:CRESWELL
Mailing Address - State:NC
Mailing Address - Zip Code:27928-9039
Mailing Address - Country:US
Mailing Address - Phone:252-796-3122
Mailing Address - Fax:
Practice Address - Street 1:291 DAVENPORT FORK RD
Practice Address - Street 2:
Practice Address - City:CRESWELL
Practice Address - State:NC
Practice Address - Zip Code:27928-9039
Practice Address - Country:US
Practice Address - Phone:252-796-3122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-16
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5565235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist