1336189737 NPI number — DR. KAREN K LASSEIGNE AUD, C.C.C.-A

Table of content: DR. KAREN K LASSEIGNE AUD, C.C.C.-A (NPI 1336189737)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336189737 NPI number — DR. KAREN K LASSEIGNE AUD, C.C.C.-A

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LASSEIGNE
Provider First Name:
KAREN
Provider Middle Name:
K
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
AUD, C.C.C.-A
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1336189737
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/20/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13041 N DEL WEBB BLVD
Provider Second Line Business Mailing Address:
CIGNA HEARING CENTER
Provider Business Mailing Address City Name:
SUN CITY
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85351-3034
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
623-876-2101
Provider Business Mailing Address Fax Number:
623-876-2393

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
13041 N DEL WEBB BLVD
Provider Second Line Business Practice Location Address:
CIGNA HEARING CENTER
Provider Business Practice Location Address City Name:
SUN CITY
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85351-3034
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
623-876-2101
Provider Business Practice Location Address Fax Number:
623-876-2393
Provider Enumeration Date:
06/07/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 231H00000X , with the licence number:  3501002167 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 231H00000X , with the licence number: DA5187 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 640C926140 . This is a "BCBS PIN" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".




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