Healthcare Provider Details

I. General information

NPI: 1588837355
Provider Name (Legal Business Name): MICHELE LENNARD CRAMER AUD.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MICHELE LENNARD CRAMER AU.D.

II. Dates (important events)

Enumeration Date: 04/11/2008
Last Update Date: 03/04/2021
Certification Date: 03/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2633 NAPOLEON AVE STE 703
NEW ORLEANS LA
70115-7420
US

IV. Provider business mailing address

2633 NAPOLEON AVE STE 703
NEW ORLEANS LA
70115-7420
US

V. Phone/Fax

Practice location:
  • Phone: 504-301-1271
  • Fax: 504-301-1870
Mailing address:
  • Phone: 504-301-1271
  • Fax: 504-301-1870

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number5701
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number2020034093
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number5701
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: