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Individual

MR. MICHAEL A. LAWLESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
HEARING AID DEALER

Contact information

Practice address
405 E HOFFER ST, KOKOMO, IN 46902-2247
(765) 457-1553
Mailing address
405 E HOFFER ST, KOKOMO, IN 46902-2247
(765) 457-1553

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
17001250A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1700125A
HEARING AID DEALER
IN
Enumeration date
11/01/2018
Last updated
11/01/2018
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