Healthcare Provider Details

I. General information

NPI: 1326065756
Provider Name (Legal Business Name): NORA ANNE LIGNELL M.A,, CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 10/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1425 MICHIGAN ST NE STE A
GRAND RAPIDS MI
49503
US

IV. Provider business mailing address

1555 44TH ST SW
WYOMING MI
49509-4313
US

V. Phone/Fax

Practice location:
  • Phone: 616-459-4514
  • Fax:
Mailing address:
  • Phone: 616-249-8000
  • Fax: 616-249-8088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: