Healthcare Provider Details

I. General information

NPI: 1225912652
Provider Name (Legal Business Name): LAURA LYNN BARNETT HIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2025
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28851 N MAIN ST STE G
DAPHNE AL
36526-7273
US

IV. Provider business mailing address

101 LOTTIE LN STE 2
FAIRHOPE AL
36532-7309
US

V. Phone/Fax

Practice location:
  • Phone: 251-990-0535
  • Fax: 251-990-0538
Mailing address:
  • Phone: 251-990-0535
  • Fax: 251-990-0538

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number2383
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: