Provider Demographics
NPI:1134546450
Name:LAWRENCE HEARING AID CENTER INC
Entity type:Organization
Organization Name:LAWRENCE HEARING AID CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:HENDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-749-1885
Mailing Address - Street 1:4106 W 6TH ST
Mailing Address - Street 2:STE E
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-4624
Mailing Address - Country:US
Mailing Address - Phone:785-749-1885
Mailing Address - Fax:785-749-3767
Practice Address - Street 1:4106 W 6TH ST
Practice Address - Street 2:STE E
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049-4624
Practice Address - Country:US
Practice Address - Phone:785-749-1885
Practice Address - Fax:785-749-3767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-25
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1327237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty