Provider Demographics
NPI:1447429154
Name:LANTIER, KAMI MELANCON (AUD)
Entity Type:Individual
Prefix:DR
First Name:KAMI
Middle Name:MELANCON
Last Name:LANTIER
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 1:302 SLEEPY BROOK RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-1855
Mailing Address - Country:US
Mailing Address - Phone:337-522-0130
Mailing Address - Fax:
Practice Address - Street 1:201 MEADOW FARM RD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-7277
Practice Address - Country:US
Practice Address - Phone:337-541-7045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-27
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4943231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA4C468CD37Medicare PIN