MEDICARE: DR. LYNNE RANEY HILL 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
1	231H00000X	Audiologist	51	AR

General Provider Information

NPI Number	:	1861461527
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LYNNE RANEY HILL AU.D.

Provider Business Mailing Address
First Line	:	613 THOMPSON AVE
Second Line	:
City	:	EL DORADO
State	:	AR
Zip	:	71730
Country	:	US
Telephone Number	:	870-574-1262
Fax Number	:	870-864-0306

Provider Business Practice Location Address
First Line	:	613 THOMPSON AVE
Second Line	:
City	:	EL DORADO
State	:	AR
Zip	:	71730-4557
Country	:	US
Telephone Number	:	870-574-1262
Fax Number	:	870-864-0306

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

Provider Enumeration Date	:	03/15/2006
Last Update Date	:	06/03/2010

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