Healthcare Provider Details

I. General information

NPI: 1811015001
Provider Name (Legal Business Name): ANNA DAGGETT AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 04/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1303 RIVER VALLEY BLVD STE B
LANCASTER OH
43130-1669
US

IV. Provider business mailing address

1303 RIVER VALLEY BLVD STE B
LANCASTER OH
43130-1669
US

V. Phone/Fax

Practice location:
  • Phone: 740-654-3571
  • Fax: 740-689-3277
Mailing address:
  • Phone: 740-654-3571
  • Fax: 740-689-3277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberA-01335
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: