Provider Demographics
NPI:1568606861
Name:LOWCOUNTRY HEARING HEALTHCARE LLC
Entity Type:Organization
Organization Name:LOWCOUNTRY HEARING HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:DRESSLER-LOMANO
Authorized Official - Suffix:
Authorized Official - Credentials:M AUD, CCC-A
Authorized Official - Phone:843-762-2132
Mailing Address - Street 1:354 FOLLY RD STE 4
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29412-2594
Mailing Address - Country:US
Mailing Address - Phone:843-762-2132
Mailing Address - Fax:843-762-4623
Practice Address - Street 1:354 FOLLY RD STE 4
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29412-2594
Practice Address - Country:US
Practice Address - Phone:843-762-2132
Practice Address - Fax:843-762-4623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-30
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2868332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC605035900OtherDEPARTMENT OF LABOR PROVIDER NUMBER