Provider Demographics
NPI:1326065756
Name:LIGNELL, NORA ANNE (MA,, CCC-A)
Entity Type:Individual
Prefix:
First Name:NORA
Middle Name:ANNE
Last Name:LIGNELL
Suffix:
Gender:F
Credentials:MA,, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1555 44TH ST SW
Mailing Address - Street 2:
Mailing Address - City:WYOMING
Mailing Address - State:MI
Mailing Address - Zip Code:49509-4313
Mailing Address - Country:US
Mailing Address - Phone:616-249-8000
Mailing Address - Fax:616-249-8088
Practice Address - Street 1:1425 MICHIGAN ST NE STE A
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49503
Practice Address - Country:US
Practice Address - Phone:616-459-4514
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-15
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI640G02611-0OtherBC/BS