Provider Demographics
NPI:1063633899
Name:DUGAN, LORI
Entity Type:Individual
Prefix:MS
First Name:LORI
Middle Name:
Last Name:DUGAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:
Other - Last Name:MATVEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:901 EATHAN AVE.
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15226
Mailing Address - Country:US
Mailing Address - Phone:412-531-8428
Mailing Address - Fax:412-434-0822
Practice Address - Street 1:100 5TH AVE
Practice Address - Street 2:SUITE 1208
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-1821
Practice Address - Country:US
Practice Address - Phone:412-471-4352
Practice Address - Fax:412-434-0822
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT-001119-L231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist