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Individual

MS. LANA C SWOPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA,CCC-A

Contact information

Practice address
1825 MARTHA BERRY BLVD NW, ROME, GA 30165-1625
(706) 295-5331
(706) 238-8072
Mailing address
1825 MARTHA BERRY BLVD NW, ROME, GA 30165-1625
(706) 295-5331

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD003771
GA
237600000X
Audiologist-Hearing Aid Fitter
AUD003771
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
077577596E
GA
05
077577596F
GA
05
077577596G
GA
05
077577596H
GA
05
077577596I
GA
05
077577596J
GA
Enumeration date
02/20/2007
Last updated
03/01/2012
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