Lisa Fazalare, MS, CCC-A - Audiologist in Clarksburg, WV

Lisa Fazalare, MS, CCC-A is a Audiologist based in Clarksburg, West Virginia. Lisa Fazalare is licensed to practice in West Virginia (license number A-0111) and her current practice location is 1 Medical Center Drive, Clarksburg, West Virginia. She can be reached at her office (for appointments etc.) via phone at (304) 623-3461.

NPI number for Lisa Fazalare is 1144258674 and her current mailing address is 19 Benton Ln, Fairmont, West Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144258674.

Contact Information

Lisa Fazalare, MS, CCC-A
1 Medical Center Drive,
Clarksburg, WV 26301
(304) 623-3461
Not Available



Healthcare Provider's Profile

Full NameLisa Fazalare
GenderFemale
SpecialityAudiologist
Location1 Medical Center Drive, Clarksburg, West Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1144258674
  • Provider Enumeration Date: 06/30/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Lisa Fazalare such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144258674NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
231H00000XAudiologist A-0111 (West Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Fazalare is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lisa Fazalare, MS, CCC-A
19 Benton Ln,
Fairmont, WV 26554-8365

Ph: (304) 623-3461
Lisa Fazalare, MS, CCC-A
1 Medical Center Drive,
Clarksburg, WV 26301

Ph: (304) 623-3461

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› Verified 6 days ago


Audiologist in Clarksburg, WV

Doreen Church Maurer, M.S., CCC/A
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: One Medical Center Drive, Clarksburg, WV 26301
Phone: 304-623-3461    Fax: 302-623-7683
Mrs. Valerie S. Graham, MS
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 110 N 6th St, Clarksburg, WV 26301
Phone: 304-622-4327    Fax: 304-622-2144
Christa Nadeene Browning, AU.D.
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 95 Rosebud Plz, 112, Clarksburg, WV 26301
Phone: 304-931-4089    
Mrs. Sarah Luanne Merritt, M.S., CCC-A
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 1 Medical Center Drive, Louis A. Johnson Va Medical Cent, Clarksburg, WV 26301
Phone: 304-623-3461    Fax: 304-626-7754

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