Individual
JAIME R LANOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1229 E SEMINOLE ST STE 530, SPRINGFIELD, MO 65804-2227
(417) 820-5071
Mailing address
1229 E SEMINOLE ST STE 530, SPRINGFIELD, MO 65804-2227
(417) 820-5071
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2003011036
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215076070
—
MO
05
—
195410720
—
AR
01
—
206689
MO BLUE SHIELD
MO
01
—
431560263
TRICARE
MO
01
—
P01129109
RR MCR
MO
Enumeration date
02/06/2007
Last updated
07/21/2022
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