Provider Demographics
NPI:1174984447
Name:SABISCH, LORINDA J (M ED)
Entity type:Individual
Prefix:MS
First Name:LORINDA
Middle Name:J
Last Name:SABISCH
Suffix:
Gender:F
Credentials:M ED
Other - Prefix:MS
Other - First Name:RENNY
Other - Middle Name:J
Other - Last Name:SABISCH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:M ED
Mailing Address - Street 1:191 BALDWIN ST
Mailing Address - Street 2:UNIT A
Mailing Address - City:JENISON
Mailing Address - State:MI
Mailing Address - Zip Code:49428-7971
Mailing Address - Country:US
Mailing Address - Phone:616-238-5515
Mailing Address - Fax:
Practice Address - Street 1:191 BALDWIN ST
Practice Address - Street 2:UNIT A
Practice Address - City:JENISON
Practice Address - State:MI
Practice Address - Zip Code:49428-7971
Practice Address - Country:US
Practice Address - Phone:616-238-5515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-15
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other