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NPI Code Detail

MEDICARE: DR. MATHEW RAY LINGMANN AU. D.

MEDICARE: DR. MATHEW RAY LINGMANN 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
1231H00000XAudiologist030941OR
2237600000XAudiologist-Hearing Aid FitterA-3508NV

General Provider Information

NPI Number : 1669039434
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATHEW RAY LINGMANN AU. D.
Provider Business Mailing Address
First Line : 10161 PARK RUN DR STE 150
Second Line :
City : LAS VEGAS
State : NV
Zip : 89145-8872
Country : US
Telephone Number : 702-369-1321
Fax Number :
Provider Business Practice Location Address
First Line : 10161 PARK RUN DR STE 150
Second Line :
City : LAS VEGAS
State : NV
Zip : 89145-8872
Country : US
Telephone Number : 702-369-1321
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2019
Last Update Date : 03/28/2023

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