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NPI Code Detail

MEDICARE: DR. ZACHARY SCOTT LA FRATTA AU.D.

MEDICARE:  DR. ZACHARY SCOTT LA FRATTA  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
1231H00000XAudiologist

General Provider Information

NPI Number : 1992147631
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ZACHARY SCOTT LA FRATTA AU.D.
Provider Business Mailing Address
First Line : 715 CLINIC DR
Second Line :
City : WEST LAFAYETTE
State : IN
Zip : 47907-2122
Country : US
Telephone Number : 765-494-6842
Fax Number :
Provider Business Practice Location Address
First Line : 715 CLINIC DR
Second Line :
City : WEST LAFAYETTE
State : IN
Zip : 47907-2122
Country : US
Telephone Number : 765-494-4229
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2013
Last Update Date : 12/06/2022

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Directions to “ DR. ZACHARY SCOTT LA FRATTA AU.D.” Practice Location

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