Individual
LORI S. TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
906 WOODLAND DR, SUITE 102, ELIZABETHTOWN, KY 42701-2752
(270) 765-5127
Mailing address
588 CLOVER LN, UNIT C, ELIZABETHTOWN, KY 42701-2989
(573) 645-2035
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
0495
KY
231H00000X
Audiologist
20007013693
MO
Other
Enumeration date
03/24/2008
Last updated
01/30/2009
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