Healthcare Provider Details

I. General information

NPI: 1487640959
Provider Name (Legal Business Name): L & S HEARING HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2005
Last Update Date: 12/03/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1490 E FOREMASTER DR STE 360
ST GEORGE UT
84790-4488
US

IV. Provider business mailing address

1490 E FOREMASTER DR #360
ST GEORGE UT
84790-4508
US

V. Phone/Fax

Practice location:
  • Phone: 435-688-8866
  • Fax: 435-688-2882
Mailing address:
  • Phone: 435-688-8866
  • Fax: 435-688-2882

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name: LANCE F GREER
Title or Position: PRESIDENT
Credential: AU D FAAA
Phone: 435-688-8866