Healthcare Provider Details

I. General information

NPI: 1376737718
Provider Name (Legal Business Name): LINDSAY AGUILAR LEVIER M.A., CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDSAY MARIE AGUILAR M.A., CCC-A

II. Dates (important events)

Enumeration Date: 08/29/2007
Last Update Date: 02/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 KALISTE SALOOM RD SUITE 120
LAFAYETTE LA
70508-4230
US

IV. Provider business mailing address

850 KALISTE SALOOM RD SUITE 120
LAFAYETTE LA
70508-4230
US

V. Phone/Fax

Practice location:
  • Phone: 337-706-8176
  • Fax: 337-706-8239
Mailing address:
  • Phone: 337-706-8176
  • Fax: 337-706-8239

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number5435
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: