Healthcare Provider Details

I. General information

NPI: 1831515022
Provider Name (Legal Business Name): LISA MARIE CHANDONAIS AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LISA MARIE TROMLEY

II. Dates (important events)

Enumeration Date: 03/11/2014
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 PENN CENTER BLVD STE 777
PITTSBURGH PA
15235-5607
US

IV. Provider business mailing address

400 PENN CENTER BLVD STE 777
PITTSBURGH PA
15235-5607
US

V. Phone/Fax

Practice location:
  • Phone: 412-271-3002
  • Fax:
Mailing address:
  • Phone: 412-271-3002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAT006313
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: