Individual
LORI M. ROSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
3495 IRON HORSE RD STE B, LADSON, SC 29456-4319
(843) 258-5060
(843) 492-4712
Mailing address
PO BOX 530062, ATLANTA, GA 30353-0062
(843) 695-6071
(843) 569-5881
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
4104
SC
231H00000X
Audiologist
41YA00058800
NJ
237600000X
Audiologist-Hearing Aid Fitter
25MG00091600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA1994
—
SC
Enumeration date
06/13/2008
Last updated
06/10/2021
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