Healthcare Provider Details

I. General information

NPI: 1528258837
Provider Name (Legal Business Name): ELIZABETH ANNE KRONE HEARING AID DISPENSE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2007
Last Update Date: 08/01/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24191 PASEO DE VALENCIA STE C
LAGUNA WOODS CA
92637-3135
US

IV. Provider business mailing address

24191 PASEO DE VALENCIA STE C
LAGUNA WOODS CA
92637-3135
US

V. Phone/Fax

Practice location:
  • Phone: 949-830-4444
  • Fax: 949-830-2891
Mailing address:
  • Phone: 949-830-4444
  • Fax: 949-830-2891

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHA2662
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: