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NPI Code Detail

MEDICARE: MR. MICHAEL A. LAWLESS HEARING AID DEALER

MEDICARE:  MR. MICHAEL A. LAWLESS  HEARING AID DEALER
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
1237700000XHearing Instrument Specialist17001250AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11700125AOTHERINHEARING AID DEALER

General Provider Information

NPI Number : 1508333113
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL A. LAWLESS HEARING AID DEALER
Provider Business Mailing Address
First Line : 405 E HOFFER ST
Second Line :
City : KOKOMO
State : IN
Zip : 46902-2247
Country : US
Telephone Number : 765-457-1553
Fax Number :
Provider Business Practice Location Address
First Line : 405 E HOFFER ST
Second Line :
City : KOKOMO
State : IN
Zip : 46902-2247
Country : US
Telephone Number : 765-457-1553
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2018
Last Update Date : 11/01/2018

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Directions to “ MR. MICHAEL A. LAWLESS HEARING AID DEALER” Practice Location

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