Organization
LAKE PROFESSIONAL HEARING AID CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY A FRASIER BC-HIS (OWNER)
(573) 346-4500
Entity
Organization
Contact information
Practice address
648 N BUSINESS ROUTE 5, CAMDENTON, MO 65020-2642
(573) 346-4500
(573) 346-0480
Mailing address
648 N BUSINESS ROUTE 5, CAMDENTON, MO 65020-2642
(573) 346-4500
(573) 346-0480
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
—
—
Other
Enumeration date
02/26/2013
Last updated
08/29/2019
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