NPI 1144258674

Lisa Fazalare, MSCCCA

Practitioner Audiologist Clarksburg, WV

Practice location

Address: 1 Medical Center Drive, Clarksburg, WV 26301
Phone: (304) 623-3461
Mailing address: 19 Benton Ln, Fairmont, WV 26554-8365

Registered specialties

Audiologist Primary

Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence A-0111 (WV)

Other Audiologist providers in West Virginia →

Registry record

NPI: 1144258674
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jun 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.