| NPI | 1760733489 |
|---|---|
| Former Name | LAUREN J INGRAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: LA 6742) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: LA 6742) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2013-11-05 |