Organization
LIFESTYLE HEARING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID RAEL H.I.D (OWNER)
(651) 788-9008
Entity
Organization
Contact information
Practice address
3410 FEDERAL DR, SUITE101, EAGAN, MN 55122-1320
(651) 788-9008
(651) 340-5728
Mailing address
3410 FEDERAL DR, SUITE101, EAGAN, MN 55122-1320
(651) 788-9008
(651) 340-5728
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2653
MN
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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