Provider Demographics
NPI:1275878191
Name:LG AUDIOLOGICAL ENTERPRISES, LLC
Entity Type:Organization
Organization Name:LG AUDIOLOGICAL ENTERPRISES, LLC
Other - Org Name:AUDIOLOGICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:
Authorized Official - Last Name:GUEMPEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-260-2665
Mailing Address - Street 1:1320 WONDER WORLD DR
Mailing Address - Street 2:STE 107
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-7557
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1320 WONDER WORLD DR STE 107
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-7558
Practice Address - Country:US
Practice Address - Phone:512-260-2665
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-04
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty