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NPI Code Detail

MEDICARE: LAUREN ASHLEY MAYER HIS

MEDICARE: LAUREN ASHLEY MAYER HIS
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
1237700000XHearing Instrument SpecialistHA0664MS
2237700000XHearing Instrument Specialist1301LA

General Provider Information

NPI Number : 1710522925
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN ASHLEY MAYER HIS
Provider Business Mailing Address
First Line : 5750 JOHNSTON ST STE 502
Second Line :
City : LAFAYETTE
State : LA
Zip : 70503-5334
Country : US
Telephone Number : 337-704-2228
Fax Number : 337-704-2240
Provider Business Practice Location Address
First Line : 2102 MACARTHUR DR STE C
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71301-3763
Country : US
Telephone Number : 318-484-3755
Fax Number : 318-484-3944
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2019
Last Update Date : 11/12/2019

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