Provider Demographics
NPI:1437159555
Name:STONE, LAUREN BAIRD (AUD)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:BAIRD
Last Name:STONE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:743 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24541-1803
Mailing Address - Country:US
Mailing Address - Phone:434-799-6288
Mailing Address - Fax:434-797-3685
Practice Address - Street 1:743 MAIN ST
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541-1803
Practice Address - Country:US
Practice Address - Phone:434-799-6288
Practice Address - Fax:434-797-3685
Is Sole Proprietor?:No
Enumeration Date:2005-07-29
Last Update Date:2015-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2201000661231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAP01324628OtherMEDICARE RAILROAD PTAN - DANNY W. GNEWIKOW, PH.D., LLC
VA021485D19OtherMEDICARE PALMETTO GBA PTAN (DANNY W. GNEWIKOW, PH.D., LLC)
VA021486A01OtherMEDICARE PALMETTO GBA PTAN (AUDIOLOGY HEARING AID ASSOCIATES, INC.)
VA1437159555Medicaid
VA640003588OtherMEDICARE RAILROAD PTAN - AUDIOLOGY HEARING AID ASSOCIATES, INC.
VA640003311OtherRAILROAD-DANVILLE
VAS66701Medicare UPIN
VA640003588OtherRAILROAD-LYNCHBURG
VA640000072Medicare ID - Type UnspecifiedTRAILBLAZER-DANVILLE
VA9451005Medicaid
VA248042OtherANTHEM OF VA - DANVILLE
VA541361858OtherPIEDMONTCOMMUNITYHLTHPLAN