Lori Brax's National Provider Identifier (NPI) Details
Lori Brax, LSCSW
NPI: 1245528132
Enumeration Date: 2011-07-13
Last updated: 2019-11-14
Sole Proprietor: YES
Status: active
Postal Address: 5815 BROADWAY AVE, GREAT BEND, KS
Phone: 620-792-2544
Primary Practice Address: 5815 BROADWAY AVE, GREAT BEND, KS
Practice's phone: 620-792-2544