Individual
MRS. LORI ANN MARULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
6911 SHANNON WILLOW RD STE 700, CHARLOTTE, NC 28226
(980) 540-3777
Mailing address
13714 CATHEDRAL WAY, CHARLOTTE, NC 28278-7300
(716) 830-2267
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5510
SC
235Z00000X
Speech-Language Pathologist
9025
NC
Other
Enumeration date
06/08/2008
Last updated
07/25/2018
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