Individual
LORI GROVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 RODMAN RD, AUBURN, ME 04210-3942
(207) 376-3022
(207) 333-3501
Mailing address
800 CENTER ST, AUBURN, ME 04210-6404
(207) 782-2726
(207) 333-3501
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1569
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
413060099
—
ME
Enumeration date
04/28/2009
Last updated
10/27/2009
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