# LISA WEAR WILCOX

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1285785485
- **Gender:** F
- **Credential:** AUD, CCC-A

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 80134 | TX | — |
| 231H00000X | Audiologist | A 01362 | OH | Yes |
| 237600000X | Audiologist-Hearing Aid Fitter | 80134 | TX | — |

## Other

- **Enumeration date:** 01/15/2007
- **Last updated:** 08/11/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 04709 | PARAMOUNT | OH |
| 01 | — | 296609964-001 | MMOH | OH |
| 01 | — | 296609964-002 | MMOH | OH |
| 05 | — | 5187350 | — | MI |
| 01 | — | P00434163 | RRMC | OH |
| 01 | — | PENDING | AETNA | OH |