Individual
LORI M ZAHORODNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
815 N 63RD ST, WAUWATOSA, WI 53213-3213
(414) 939-5144
Mailing address
815 N 63RD ST, WAUWATOSA, WI 53213-3213
(414) 939-5144
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
09672
MD
235Z00000X
Speech-Language Pathologist
4239-154
WI
Other
Enumeration date
02/17/2021
Last updated
02/18/2021
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