Provider Demographics
NPI:1003009614
Name:AUDIOLOGY CONSULTANTS OF LOUISIANA, INC.
Entity Type:Organization
Organization Name:AUDIOLOGY CONSULTANTS OF LOUISIANA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:318-445-6998
Mailing Address - Street 1:PO BOX 13785
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71315-3785
Mailing Address - Country:US
Mailing Address - Phone:318-445-6998
Mailing Address - Fax:318-445-8389
Practice Address - Street 1:1408 METRO DR
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-3424
Practice Address - Country:US
Practice Address - Phone:318-445-6998
Practice Address - Fax:318-445-8389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-27
Last Update Date:2011-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4412A237600000X, 332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
No332S00000XSuppliersHearing Aid EquipmentGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1438308Medicaid
LA1476498Medicaid