Individual
MR. LAVERNE CLARENCE WILLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICENSED HEARING INS
Contact information
Practice address
2525 WEST MAIN, SUITE 106, RAPID CITY, SD 57702-2438
(605) 355-9776
Mailing address
2525 W MAIN, SUITE 106 HEAR BETTER HERE HEARING CENTER, RAPID CITY, SD 57702-2438
(605) 355-9776
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
257
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9159920
—
SD
Enumeration date
06/17/2008
Last updated
06/17/2008
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