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NPI Code Detail

MEDICARE: DR. LANE THOMAS HAMMONS AU.D

MEDICARE: DR. LANE THOMAS HAMMONS 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
1231H00000XAudiologist9317LA

General Provider Information

NPI Number : 1598440562
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LANE THOMAS HAMMONS AU.D
Provider Business Mailing Address
First Line : 530 WHITE PERCH RD
Second Line :
City : SIBLEY
State : LA
Zip : 71073-2616
Country : US
Telephone Number : 318-525-2667
Fax Number :
Provider Business Practice Location Address
First Line : 5700 PHOENIX PL
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-5782
Country : US
Telephone Number : 479-441-2600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2023
Last Update Date : 06/19/2023

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