| NPI | 1720244692 |
|---|---|
| Former Name | LARA J CIASULLI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NM AUD5476) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NM 5476) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2025-10-08 |