Provider Demographics
NPI:1063856789
Name:MEESE, LAWRENCE J (HIS)
Entity Type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:J
Last Name:MEESE
Suffix:
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2845 NORTH RIDGE EAST
Mailing Address - Street 2:
Mailing Address - City:ASHTABULA
Mailing Address - State:OH
Mailing Address - Zip Code:44004
Mailing Address - Country:US
Mailing Address - Phone:440-992-0101
Mailing Address - Fax:440-992-0096
Practice Address - Street 1:6929 W 130TH ST STE 201
Practice Address - Street 2:
Practice Address - City:PARMA HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-7822
Practice Address - Country:US
Practice Address - Phone:440-886-1552
Practice Address - Fax:440-992-0096
Is Sole Proprietor?:No
Enumeration Date:2013-04-24
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03107237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist