Individual
LILLIAN R. MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MACCC-A
Contact information
Practice address
6100 S BROADWAY, SUITE 102, LORAIN, OH 44053-3874
(440) 246-4327
(440) 246-4327
Mailing address
6100 S BROADWAY, SUITE 102, LORAIN, OH 44053-3875
(440) 246-4327
(440) 246-4327
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A-0171
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0847329
—
OH
Enumeration date
10/16/2006
Last updated
07/08/2007
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