Organization
NORTHFORK SPEECH AND HEARING PC
Active
Other names
Frontier Audiology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORI L. ARCHIE AU.D. (OWNER)
(307) 322-3332
Entity
Organization
Contact information
Practice address
968 GILCHRIST ST, WHEATLAND, WY 82201-2932
(307) 322-3332
(307) 322-3623
Mailing address
968 GILCHRIST ST, WHEATLAND, WY 82201-2932
(307) 322-3332
(307) 322-3623
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
168
NE
231H00000X
Audiologist
—
WY
237600000X
Audiologist-Hearing Aid Fitter
Primary
627
NE
332S00000X
Hearing Aid Equipment
—
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104704300
—
WY
05
—
104704301
—
WY
Enumeration date
06/25/2007
Last updated
01/30/2012
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