LISA FAZALARE

CLARKSBURG, WV
NPI1144258674
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy231H00000X Audiologist
(Licence: WV  A-0111)
Enumeration Date2006-06-30
Last Update Date2007-07-08
Business Address
-- LISA FAZALARE M.S., CCC-A
1 MEDICAL CENTER DRIVE
CLARKSBURG, WV 26301
Phone number: 304-623-3461
Mailing Address
-- LISA FAZALARE M.S., CCC-A
19 BENTON LN
FAIRMONT, WV 26554-8365
Phone number: 304-623-3461
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