Healthcare Provider Details
I. General information
NPI: 1598780983
Provider Name (Legal Business Name): LORI ANN HOWE M.S. CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3001 GREEN BAY RD
NORTH CHICAGO IL
60064-3048
US
IV. Provider business mailing address
18791 WILDFLOWER WAY
LAKE VILLA IL
60046-6701
US
V. Phone/Fax
- Phone: 224-610-3759
- Fax:
- Phone: 847-356-5784
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | |
| License Number State | IL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: