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Individual
LORI M FABER
Active
Individual
LORI M FABER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-A
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147000451
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147-000451
STATE LICENSE
IL
Enumeration date
02/23/2006
Last updated
10/21/2020
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