Basic Information
| Provider Information | |||||||||
| NPI: | 1407818685 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BURMAN | ||||||||
| FirstName: | LAURIE | ||||||||
| MiddleName: | E | ||||||||
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| Credential: | MA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1858 SOLUTIONS CTR | ||||||||
| Address2: | |||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606771008 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5132210527 | ||||||||
| FaxNumber: | 5132211703 | ||||||||
| Practice Location | |||||||||
| Address1: | 2825 BURNET AVE | ||||||||
| Address2: | |||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452192426 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5132210527 | ||||||||
| FaxNumber: | 5132211703 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/04/2006 | ||||||||
| LastUpdateDate: | 08/26/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231H00000X | A 0589 | OH | Y | Speech, Language and Hearing Service Providers | Audiologist |
No ID Information.