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Organization

GROSSE POINTE AUDIOLOGY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GINETTE ALICIA LEZOTTE AU.D., CCC-A (AUDIOLOGIST/OWNER)
(313) 343-5555
Entity
Organization

Contact information

Practice address
20239 MACK AVENUE, GROSSE POINTE AUDIOLOGY, GROSSE POINTE WOODS, MI 48236-1769
(313) 343-5555
(313) 343-5304
Mailing address
20239 MACK AVENUE, GROSSE POINTE AUDIOLOGY, GROSSE POINTE WOODS, MI 48236-1769
(313) 343-5555
(313) 343-5304

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
332S00000X
Hearing Aid Equipment

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
804683505
MI
05
904396202
MI
Enumeration date
04/04/2007
Last updated
04/25/2011
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