LAKESIDE AUDIOLOGY LLC

FORT MILL, SC
NPI1417341280
Entity TypeOrganization
Authorized ContactKIMBERLY BLOCK
Doctor Of Audiology
803-412-6789
Organization Subpart ?No
Primary Taxonomy261QH0700X Clinic/Center, Hearing and Speech
(Licence: SC  4011)
Additional Taxonomies231H00000X Audiologist
235Z00000X Speech-Language Pathologist,
261QH0700X Clinic/Center, Hearing and Speech
(Licence: NC  9758)
Enumeration Date2015-03-19
Last Update Date2021-11-19
Business Address
LAKESIDE AUDIOLOGY LLC
870 GOLD HILL RD STE 104
FORT MILL, SC 29708-8988
Phone number: 803-620-8250
Mailing Address
LAKESIDE AUDIOLOGY LLC
870 GOLD HILL RD STE 104
FORT MILL, SC 29708-8988
Phone number: 803-620-8250