Lori Susanne Frederick M.A., CCC-A

NPI 1134385024 - Audiologist-Hearing Aid Fitter - 237600000X

NPI Details
NPI 1134385024
Gender Female
Enumeration Date 07/31/2008
Last Updated 07/31/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
6242 POPLAR AVE
MEMPHIS TN, 38119-4730, US
Phone (901) 842-4327
Fax (901) 842-4330
Business Location
6242 POPLAR AVE
MEMPHIS TN, 38119-4730, US
Phone (901) 842-4327
Fax (901) 842-4330
Toxanomy
Taxonomy Code 237600000X
License State Tennessee
License Number A0000001325
Remove 1134385024 NPI Number
 

According to our database, Mrs. Lori Susanne Frederick M.A., CCC-A NPI is 1134385024, taxonomy code is 237600000X and license number is A0000001325, license state is located at Tennessee. Lori Susanne Frederick M.A., CCC-A physically located at 6242 Poplar Ave, Memphis TN, 38119-4730. NPI Number Lori Susanne Frederick M.A., CCC-A has the Individual type.

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1134385024 NPI number is provided on an as is basis without warranty of any kind. 1134385024 is maintained by the National Plan & Provider Enumeration System. The contents of Lori Susanne Frederick M.A., CCC-A are for informational purposes only.