# RICHARD W. LAZICH, AU.D. PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871626861
- **Authorized official:** DR. RICHARD LAZICH (OWNER)
- **Authorized official phone:** (502) 345-8375

## Contact information

- **Practice address:** 4135 SHELBYVILLE RD, LOUISVILLE, KY 40207-3203
- **Practice address phone:** (502) 890-3921
- **Practice address fax:** (502) 890-3923
- **Mailing address:** 4135 SHELBYVILLE RD, LOUISVILLE, KY 40207-3203
- **Mailing address phone:** (502) 890-3921
- **Mailing address fax:** (502) 890-3923

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | KY-0066 | KY | Yes |

## Other

- **Enumeration date:** 03/13/2007
- **Last updated:** 08/14/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000388061 | ANTHEM | KY |