Individual
MR. DALE T LALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S. CCC-A
Contact information
Practice address
260 WESTERN AVE, SOUTH PORTLAND, ME 04106-2432
(207) 828-9590
(207) 828-1049
Mailing address
260 WESTERN AVE, SOUTH PORTLAND, ME 04106-2432
(207) 828-9590
(207) 828-1049
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AP159
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1042010
AETNA
—
05
—
30006549
—
NH
01
—
367490
CIGNA
—
01
—
7303080Y0NH
ANTHEM - NH
—
01
—
MNT752
HARVARD PILGRIM
—
Enumeration date
02/13/2007
Last updated
07/08/2007
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