Provider Demographics
NPI:1376750901
Name:SHAPIRO, LORI
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:SHAPIRO
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 1:5333 MCAULEY DRIVE
Mailing Address - Street 2:SUITE 2016
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197
Mailing Address - Country:US
Mailing Address - Phone:734-434-3200
Mailing Address - Fax:734-712-3358
Practice Address - Street 1:5333 MCAULEY DRIVE
Practice Address - Street 2:SUITE 2016
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-1135
Practice Address - Country:US
Practice Address - Phone:734-434-3200
Practice Address - Fax:734-712-3358
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2014-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MILL045012237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter