Organization
DIXIE HEARING AND BALANCE CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD LAYNE LUEKENGA JR. AU.D. (PRESIDENT)
(435) 688-8991
Entity
Organization
Contact information
Practice address
1301 BERTHA HOWE AVE STE 6, MESQUITE, NV 89027-7503
(435) 688-8991
(435) 688-2122
Mailing address
630 S 400 E STE 103, ST GEORGE, UT 84770-3765
(435) 688-8991
(435) 688-2122
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
59355224101
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D6362
—
UT
Enumeration date
09/13/2007
Last updated
09/13/2007
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