Provider Demographics
NPI:1437860624
Name:LIVE LIFE LOUDER LLC
Entity Type:Organization
Organization Name:LIVE LIFE LOUDER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:VIRGINIA LYNN
Authorized Official - Last Name:PHILLIPI
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:606-561-6727
Mailing Address - Street 1:6141 S HIGHWAY 27
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42501-6092
Mailing Address - Country:US
Mailing Address - Phone:606-561-6727
Mailing Address - Fax:606-561-0060
Practice Address - Street 1:6141 S HIGHWAY 27
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42501-6092
Practice Address - Country:US
Practice Address - Phone:606-561-6727
Practice Address - Fax:606-561-0060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-08
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment