Individual
LORI TIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-A
Contact information
Practice address
1400 NORTHSIDE FORSYTH DR, SUITE 320, CUMMING, GA 30041-7668
(770) 888-1651
(770) 886-0733
Mailing address
PO BOX 933087, ATLANTA, GA 31193-3087
(770) 475-3361
(770) 664-4431
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
003727AUD
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003727AUD
LICENSE
GA
Enumeration date
05/07/2007
Last updated
07/08/2007
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