Individual
LAURIE A DALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-A
Contact information
Practice address
295 LINCOLN ST, WORCESTER, MA 01605-3639
(508) 755-1391
(508) 363-4019
Mailing address
295 LINCOLN ST, WORCESTER, MA 01605-3639
(508) 755-1391
(508) 363-4019
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
670
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
034264
MEDICARE B
—
01
—
0396834
MEDICAID/WELFARE
—
05
—
0396834
—
MA
01
—
042472266039
TRICARE/CHAMPUS
—
01
—
54426
FALLON COMM. HEALTH PLAN
—
01
—
7717583
AETNA/US HEALTHCARE
—
01
—
AA3497
HARVARD PILGRIM HEALTHCAR
—
01
—
AD0159
BLUE CARE ELECT
—
01
—
P00094869
RAILROAD MEDICARE
—
Enumeration date
11/16/2005
Last updated
06/02/2010
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