Provider Demographics
NPI:1255466405
Name:ESPOSITO, LORI (BA, NBC-HIS, HAD)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:ESPOSITO
Suffix:
Gender:F
Credentials:BA, NBC-HIS, HAD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4702 ROXBURY DR
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-2323
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:382 S TUSTIN ST
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92866-2502
Practice Address - Country:US
Practice Address - Phone:714-633-5077
Practice Address - Fax:714-460-6733
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA3956237700000X, 237600000X, 332S00000X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
1841633880OtherNPI 2