Provider Demographics
NPI:1538941380
Name:HAYTER, LILLIE
Entity type:Individual
Prefix:
First Name:LILLIE
Middle Name:
Last Name:HAYTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1907 W MORRIS BLVD STE A300
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37813-3877
Mailing Address - Country:US
Mailing Address - Phone:423-581-8554
Mailing Address - Fax:423-254-1656
Practice Address - Street 1:1907 W MORRIS BLVD STE A300
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37813-3877
Practice Address - Country:US
Practice Address - Phone:423-581-8554
Practice Address - Fax:423-254-1656
Is Sole Proprietor?:No
Enumeration Date:2023-10-17
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist