Provider Demographics
NPI:1134305923
Name:LAMOUREUX, SARAH JENNIFER (AUD, CCC/A)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:JENNIFER
Last Name:LAMOUREUX
Suffix:
Gender:F
Credentials:AUD, CCC/A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10740 N GESSNER RD STE 310
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064-1240
Mailing Address - Country:US
Mailing Address - Phone:281-897-0416
Mailing Address - Fax:800-346-9037
Practice Address - Street 1:251 W MEDICAL CENTER BLVD STE 110
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4242
Practice Address - Country:US
Practice Address - Phone:281-338-1423
Practice Address - Fax:800-876-1456
Is Sole Proprietor?:No
Enumeration Date:2008-01-11
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA-01487237600000X
TX80369231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHP00714435OtherRR MEDICARE
OH4244101Medicare PIN