| NPI | 1174629356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRA M. PETTIT Audiologist/Owner/President 318-410-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 3110) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-08-22 |