Individual
MRS. LORRI W MACISAAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2828 STERRETTANIA RD, ERIE, PA 16506
(814) 836-1970
(814) 866-5930
Mailing address
2828 STERRETTANIA RD, ERIE, PA 16506
(814) 836-1970
(814) 836-1965
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL000006L
PA
Other
Enumeration date
04/22/2009
Last updated
04/27/2009
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