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Individual

ALYSE LOMBARDI TIGHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUD

Contact information

Practice address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
11524
NC
231H00000X
Audiologist
Primary
4037
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
19FX4
BLUE CROSS BLUE SHIELD
NC
01
3757700
CIGNA
NC
01
P01629317
RAILROAD MEDICARE
SC
01
Q50740B
MEDICARE
NC
01
Q523475874
MEDICARE
SC
05
SAN1617
SC
Enumeration date
07/13/2015
Last updated
07/21/2022
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