Organization
RICHARD W. LAZICH, AU.D. PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD LAZICH (OWNER)
(502) 345-8375
Entity
Organization
Contact information
Practice address
4135 SHELBYVILLE RD, LOUISVILLE, KY 40207-3203
(502) 890-3921
(502) 890-3923
Mailing address
4135 SHELBYVILLE RD, LOUISVILLE, KY 40207-3203
(502) 890-3921
(502) 890-3923
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
KY-0066
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000388061
ANTHEM
KY
Enumeration date
03/13/2007
Last updated
08/14/2019
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