MEDICARE: LORI FALZONE M.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	A-01003	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245431527
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORI FALZONE M.A.

Provider Business Mailing Address
First Line	:	7580 AUBURN RD
Second Line	:	103
City	:	CONCORD TWP
State	:	OH
Zip	:	44077-9615
Country	:	US
Telephone Number	:	440-352-1474
Fax Number	:	440-352-2662

Provider Business Practice Location Address
First Line	:	7580 AUBURN RD
Second Line	:	103
City	:	CONCORD TWP
State	:	OH
Zip	:	44077-9615
Country	:	US
Telephone Number	:	440-352-1474
Fax Number	:	440-352-2662

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2007
Last Update Date	:	04/30/2014

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