Provider Demographics
NPI:1467491167
Name:BARR, LORI JEAN
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:JEAN
Last Name:BARR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:JEAN
Other - Last Name:MCELHINNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:310 DELAWARE RD
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-4618
Mailing Address - Country:US
Mailing Address - Phone:301-663-0553
Mailing Address - Fax:301-663-4189
Practice Address - Street 1:310 DELAWARE RD
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-4618
Practice Address - Country:US
Practice Address - Phone:301-663-0553
Practice Address - Fax:301-663-4189
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2014-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00868237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD013NK941Medicare ID - Type UnspecifiedIND PROV ID