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NPI Code Detail

MEDICARE: MS. LORI LYNN ANDERSON HIS

MEDICARE:  MS. LORI LYNN ANDERSON  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 Specialist1626-60WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982200192
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LORI LYNN ANDERSON HIS
Provider Business Mailing Address
First Line : 1901 BEASER AVENUE
Second Line :
City : ASHLAND
State : WI
Zip : 54806-3604
Country : US
Telephone Number : 715-682-9311
Fax Number : 715-682-9313
Provider Business Practice Location Address
First Line : 1901 BEASER AVE
Second Line :
City : ASHLAND
State : WI
Zip : 54806-3604
Country : US
Telephone Number : 715-682-9311
Fax Number : 715-682-9313
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2020
Last Update Date : 07/07/2022

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Directions to “ MS. LORI LYNN ANDERSON HIS” Practice Location

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