Fazalare, Lisa

Fazalare, Lisa is an individual health care provider with primary practice located at 1 Medical Center Drive , Clarksburg WV 26301. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Fazalare, Lisa can be contacted via phone (304) 623-3461.

Contact Information

Primary practice address
1 Medical Center Drive Clarksburg WV 26301
Phone: (304) 623-3461
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X A-0111 West Virginia

Profile Details

NPI number 1144258674
LBN Legal business name Fazalare, Lisa
Credentials M.S., CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers