Lori Anne Bagwell, CCC-SLP is a
Speech-language Pathologist based in Vienna, Georgia. Lori Anne Bagwell is licensed to practice in Georgia (license number SLP004943) and her current practice location is
100 W Union St, Vienna, Georgia. She can be reached at her office (for appointments etc.) via phone at
(229) 521-1152.
NPI number for Lori Anne Bagwell is 1306720511 and her current mailing address is 1616 Lucy Ln, Rochelle, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306720511.
Healthcare Provider's Profile
| Full Name | Lori Anne Bagwell |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 100 W Union St, Vienna, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1306720511
- Provider Enumeration Date: 08/01/2025
- Last Update Date: 08/01/2025
Medical Identifiers
Medical identifiers for Lori Anne Bagwell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1306720511 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 235Z00000X | Speech-language Pathologist | SLP004943 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lori Anne Bagwell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Lori Anne Bagwell, CCC-SLP 1616 Lucy Ln, Rochelle, GA 31079-7633 Ph: (229) 942-6797 | Lori Anne Bagwell, CCC-SLP 100 W Union St, Vienna, GA 31092-1055 Ph: (229) 521-1152 |
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