Provider Demographics
NPI:1013368299
Name:CHIOLINO, LORI
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:CHIOLINO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15196 HORGER AVE
Mailing Address - Street 2:
Mailing Address - City:ALLEN PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48101-2634
Mailing Address - Country:US
Mailing Address - Phone:313-402-8856
Mailing Address - Fax:
Practice Address - Street 1:15196 HORGER AVE
Practice Address - Street 2:
Practice Address - City:ALLEN PARK
Practice Address - State:MI
Practice Address - Zip Code:48101-2634
Practice Address - Country:US
Practice Address - Phone:313-402-8856
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-28
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other