Individual
DR. RICHARD LAZICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
4135 SHELBYVILLE RD, LOUISVILLE, KY 40207-3203
(502) 890-3921
(502) 890-3923
Mailing address
13403 FOREST SPRINGS DR, LOUISVILLE, KY 40245-2077
(502) 241-1350
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
23002093A
IN
231H00000X
Audiologist
Primary
66
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200097020
—
IN
Enumeration date
12/09/2006
Last updated
03/26/2016
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