Individual
MS. LORI MARIE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD, CCC-A
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1200
Mailing address
6742 N 22ND PL, PHOENIX, AZ 85016-1110
(602) 263-1200
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD0028
AZ
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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