Individual
LORI KUNICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.A.S BC-HIS
Contact information
Practice address
5710 SIMMONS ST STE 120, NORTH LAS VEGAS, NV 89031-7281
(702) 990-9409
Mailing address
5710 SIMMONS ST STE 120, NORTH LAS VEGAS, NV 89031-7281
(702) 990-9409
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
387
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
387
HEARING AID SPECIALIST LICENSE
NV
Enumeration date
11/09/2015
Last updated
11/09/2015
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