Healthcare Provider Details

I. General information

NPI: 1629426606
Provider Name (Legal Business Name): ALAINA ZYTNIAK AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALAINA LENZEN AU.D.

II. Dates (important events)

Enumeration Date: 05/31/2016
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 S NEW BALLAS RD STE G211.4
SAINT LOUIS MO
63141-8221
US

IV. Provider business mailing address

615 S NEW BALLAS RD STE G211.4
SAINT LOUIS MO
63141-8221
US

V. Phone/Fax

Practice location:
  • Phone: 314-251-3830
  • Fax: 314-251-5992
Mailing address:
  • Phone: 314-251-3830
  • Fax: 314-251-5992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number2016018798
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: