Healthcare Provider Details

I. General information

NPI: 1215666250
Provider Name (Legal Business Name): MEGAN NICOLE LASSARD AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MEGAN NICOLE TICE AUD

II. Dates (important events)

Enumeration Date: 06/06/2022
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

822 S CLEARVIEW PKWY
NEW ORLEANS LA
70123-3401
US

IV. Provider business mailing address

822 S CLEARVIEW PKWY
NEW ORLEANS LA
70123-3401
US

V. Phone/Fax

Practice location:
  • Phone: 504-736-1809
  • Fax: 504-736-7394
Mailing address:
  • Phone: 504-736-1809
  • Fax: 504-736-7394

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: