Healthcare Provider Details

I. General information

NPI: 1992799688
Provider Name (Legal Business Name): LANCE F GREER AUD, FAAA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2005
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

295 S 1470 E STE 301
ST GEORGE UT
84790-1962
US

IV. Provider business mailing address

295 S 1470 E STE 301
ST GEORGE UT
84790-1962
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 TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberA-134
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberA-134
License Number StateNV
# 3
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number365573-4101
License Number StateUT
# 4
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number365573-4101
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: