Provider Demographics
NPI:1437765427
Name:AURORA AUDIOLOGY LLC
Entity Type:Organization
Organization Name:AURORA AUDIOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LILY
Authorized Official - Middle Name:
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:907-451-4327
Mailing Address - Street 1:1901 AIRPORT WAY STE 102
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99701-4049
Mailing Address - Country:US
Mailing Address - Phone:907-451-4327
Mailing Address - Fax:
Practice Address - Street 1:1901 AIRPORT WAY STE 102
Practice Address - Street 2:
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99701-4049
Practice Address - Country:US
Practice Address - Phone:907-451-4327
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-16
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center