MEDICARE: LAUREN ELIZABETH YORK AUD

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
1	237600000X	Audiologist-Hearing Aid Fitter
2	231H00000X	Audiologist	80142	TX

General Provider Information

NPI Number	:	1164658910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN ELIZABETH YORK AUD

Provider Business Mailing Address
First Line	:	611 W STATE HIGHWAY 6 STE 113
Second Line	:
City	:	WACO
State	:	TX
Zip	:	76710-7545
Country	:	US
Telephone Number	:	254-878-4040
Fax Number	:	469-673-2866

Provider Business Practice Location Address
First Line	:	611 W STATE HIGHWAY 6 STE 113
Second Line	:
City	:	WACO
State	:	TX
Zip	:	76710-7545
Country	:	US
Telephone Number	:	254-878-4040
Fax Number	:	469-673-2866

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2009
Last Update Date	:	04/18/2024

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