MEDICARE: STEPHEN LAMSON M.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237600000X	Audiologist-Hearing Aid Fitter	51187	TX

General Provider Information

NPI Number	:	1154509842
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN LAMSON M.S.

Provider Business Mailing Address
First Line	:	2021 N MACARTHUR BLVD
Second Line	:	STE 150
City	:	IRVING
State	:	TX
Zip	:	75061-2210
Country	:	US
Telephone Number	:	972-253-2560
Fax Number	:	972-253-4218

Provider Business Practice Location Address
First Line	:	4351 BOOTH CALLOWAY RD
Second Line	:	400
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76180-7378
Country	:	US
Telephone Number	:	817-595-3701
Fax Number	:	817-595-3701

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2008
Last Update Date	:	11/29/2016

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