Individual
LAURIE FLOREN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
2660 44TH ST SW STE 400, WYOMING, MI 49519-6836
(616) 530-8100
Mailing address
3535 PARK ST STE 106, NORTON SHORES, MI 49444-3736
(317) 374-5702
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
1601000028
MI
237600000X
Audiologist-Hearing Aid Fitter
Primary
1601000028
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OA31128
AUDIOLOGY PIN
MI
Enumeration date
03/27/2007
Last updated
03/25/2020
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