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NPI Code Detail

MEDICARE: DR. LEANNE O'NEIL FLETCHER AU.D.

MEDICARE: DR. LEANNE O'NEIL FLETCHER AU.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1237600000XAudiologist-Hearing Aid Fitter543MA

General Provider Information

NPI Number : 1164555447
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LEANNE O'NEIL FLETCHER AU.D.
Provider Business Mailing Address
First Line : 800 FALMOUTH RD
Second Line :
City : MASHPEE
State : MA
Zip : 02649-3303
Country : US
Telephone Number : 508-539-9780
Fax Number : 508-539-9830
Provider Business Practice Location Address
First Line : 800 FALMOUTH RD
Second Line :
City : MASHPEE
State : MA
Zip : 02649-3303
Country : US
Telephone Number : 508-539-9780
Fax Number : 508-539-9830
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2007
Last Update Date : 03/20/2015

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