Provider Demographics
NPI:1639349632
Name:VAUGHN, LORI ELIZABETH (MA SLP)
Entity Type:Individual
Prefix:MS
First Name:LORI
Middle Name:ELIZABETH
Last Name:VAUGHN
Suffix:
Gender:F
Credentials:MA SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4544 PARIS AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70122-2522
Mailing Address - Country:US
Mailing Address - Phone:504-296-4783
Mailing Address - Fax:
Practice Address - Street 1:6260 PROVIDENCE PL
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70126-1011
Practice Address - Country:US
Practice Address - Phone:504-957-7762
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-05
Last Update Date:2009-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5899235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist