Healthcare Provider Details

I. General information

NPI: 1679712657
Provider Name (Legal Business Name): LIPPY GROUP HEARING AID CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2009
Last Update Date: 02/13/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3893 E MARKET ST
WARREN OH
44484-4706
US

IV. Provider business mailing address

3893 E MARKET ST
WARREN OH
44484-4706
US

V. Phone/Fax

Practice location:
  • Phone: 330-856-7551
  • Fax: 330-856-4251
Mailing address:
  • Phone: 330-856-7551
  • Fax: 330-856-4251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: JODY W WILLIAMS
Title or Position: OFFICE MANAGER
Credential:
Phone: 330-856-7551