Provider Demographics
NPI:1366608697
Name:ROBERTS, LORRIE (AUDIOLOGIST)
Entity type:Individual
Prefix:
First Name:LORRIE
Middle Name:
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:AUDIOLOGIST
Other - Prefix:
Other - First Name:LORRIE
Other - Middle Name:ROBERTS
Other - Last Name:PEYTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUDIOLOGIST
Mailing Address - Street 1:1238 EMANCIPATION HWY
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-4400
Mailing Address - Country:US
Mailing Address - Phone:540-642-9258
Mailing Address - Fax:888-798-6915
Practice Address - Street 1:1238 EMANCIPATION HWY
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-4400
Practice Address - Country:US
Practice Address - Phone:540-642-9258
Practice Address - Fax:888-798-6915
Is Sole Proprietor?:No
Enumeration Date:2008-08-06
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA540896390OtherTRICARE
VA299822OtherKAISER
VA1366608697OtherANTHEM
VA299822OtherKAISER