Healthcare Provider Details

I. General information

NPI: 1699930909
Provider Name (Legal Business Name): LORI ALESSI M.S., CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2008
Last Update Date: 07/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

82 THOMAS JOHNSON CT
FREDERICK MD
21702-4348
US

IV. Provider business mailing address

82 THOMAS JOHNSON CT
FREDERICK MD
21702-4348
US

V. Phone/Fax

Practice location:
  • Phone: 301-698-2440
  • Fax: 301-846-0892
Mailing address:
  • Phone: 301-698-2440
  • Fax: 301-846-0892

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number01057
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: