Healthcare Provider Details

I. General information

NPI: 1508186412
Provider Name (Legal Business Name): LANA BRITT AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2010
Last Update Date: 07/16/2025
Certification Date: 07/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1130 BEACHVIEW ST STE 240
DALLAS TX
75218-3703
US

IV. Provider business mailing address

1966 INWOOD RD
DALLAS TX
75235-7205
US

V. Phone/Fax

Practice location:
  • Phone: 214-324-0418
  • Fax:
Mailing address:
  • Phone: 214-905-3124
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number51562
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: