Provider Demographics
NPI:1841808359
Name:HUNTER, LORI (HIS)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:HUNTER
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:318 CAROLA LN
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-3941
Mailing Address - Country:US
Mailing Address - Phone:803-543-2782
Mailing Address - Fax:
Practice Address - Street 1:2921 AUGUSTA RD STE B
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29170-3319
Practice Address - Country:US
Practice Address - Phone:803-543-2782
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-21
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC0674237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist